NONE
NPI 1356390736
Specialist in Bozeman, MT

Q: What is Intercity Radiology, PC's NPI number?

The NPI number for Intercity Radiology, PC is 1356390736. It was assigned to this organization in the NPPES registry on May 10, 2006.

Q: What is Intercity Radiology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 10, 2006

1648 ELLIS ST STE 201, BOZEMAN, MT 59715(406) 587-8631(406) 587-1343 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2020, Apr 4, 2019, Aug 17, 2018 (3 updates tracked since 2018).

On this page

About None NPPES

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

NONE (NPI 1356390736) is a healthcare organization registered as a specialist in Bozeman, Montana and active in the NPI registry since May 2006. The organization lists Jessicalee Fandrich, Credentialing Manger, as its authorized official.

NPPES Registry Identity

NPI1356390736

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameINTERCITY RADIOLOGY, PC

Location Address1648 ELLIS ST STE 201Bozeman, MT 59715-8811

Mailing Address1648 Ellis St Ste 201Bozeman, MT 59715-8811 · (406) 587-8631 · Fax (406) 587-1343

Phone(406) 587-8631

Fax(406) 587-1343

Organization SubpartNo

Authorized OfficialJessicalee FandrichCredentialing Manger · (406) 587-8631

Enumeration DateMay 10, 2006

Last NPPES UpdateSeptember 4, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2020

✔ NPI 1356390736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1648 ELLIS ST STE 201, Bozeman, MT 59715

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Leave this field empty

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD W. THARP MD

Radiology (Diagnostic Radiology)