BOZEMAN CLINIC PLLP
NPI 1013936244
Family Medicine in Bozeman, MT

Active since July 19, 2006CLIA 27D0410643 · Certificate of Compliance
931 HIGHLAND BLVD, SUITE 3360, BOZEMAN, MT 59715(406) 587-4242(406) 587-3507 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bozeman Clinic Pllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOZEMAN CLINIC PLLP (NPI 1013936244) is a healthcare organization registered as a family medicine in Bozeman, Montana and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 25, 2028 and lists Judith J. Douglas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013936244
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOZEMAN CLINIC PLLP
Location Address931 HIGHLAND BLVD, SUITE 3360Bozeman, MT 59715
Mailing Address931 Highland Blvd, Suite 3360Bozeman, MT 59715 · (406) 587-4242 · Fax (406) 587-3507
Fax(406) 587-3507
Organization SubpartNo
Authorized OfficialJudith J. DouglasAdministrator · (406) 587-4242
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 4, 2019
✔ NPI 1013936244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
931 HIGHLAND BLVD, Bozeman, MT 59715

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bozeman Clinic Pllp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Bozeman Clinic Pllp, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1619996840
931 HIGHLAND BLVD SUITE 3360
Bozeman, MT 59715
(406) 587-4242
✔ PECOSSame address
Family Practice
NPI 1992728240
931 HIGHLAND BLVD SUITE 3360
Bozeman, MT 59715
(406) 587-4242
✔ PECOSSame address
Family Practice
NPI 1699797480
931 HIGHLAND BLVD SUITE 3360
Bozeman, MT 59715
(406) 587-4242
✔ PECOSSame address
Family Practice
NPI 1801800370
931 HIGHLAND BLVD STE 3360
Bozeman, MT 59715
(406) 587-4242
✔ PECOSSame address
Family Practice
NPI 1467016873
777 N RAYMOND ST
Boise, ID 83704
(208) 514-2500
✔ PECOS295 mi
Family Practice
NPI 1760452049
606 N 3RD AVE SUITE 101
Sandpoint, ID 83864
(208) 263-1435
✔ PECOS317 mi
Family Practice
NPI 1922078260
606 N 3RD AVE STE 101
Sandpoint, ID 83864
(208) 263-1435
✔ PECOS317 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 27D0410643

Bozeman Clinic · Bozeman, MT
Active · expires Jan 25, 2028
CLIA Number27D0410643
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Gabor Benda
Laboratory Phone(406) 587-4242
Laboratory LocationBozeman Clinic1245 North 15th Avenue, Bozeman, MT 59715
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bozeman Clinic Pllp's NPI number?

The NPI number for Bozeman Clinic Pllp is 1013936244. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Bozeman Clinic Pllp located?

Bozeman Clinic Pllp is located at 931 Highland Blvd Suite 3360, Bozeman, MT 59715. The listed phone number is (406) 587-4242.

What is Bozeman Clinic Pllp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bozeman Clinic Pllp enrolled in Medicare?

Yes. Bozeman Clinic Pllp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bozeman Clinic Pllp?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Family Practice, reassign their Medicare billing to Bozeman Clinic Pllp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bozeman Clinic Pllp hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 27D0410643) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bozeman Clinic Pllp accept?

Health plans from Blue Cross and Blue Shield of Montana list Bozeman Clinic Pllp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bozeman Clinic Pllp was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.