DR. NATHANIEL ERIC WOOTEN III M.D.
NPI 1457591216
Specialist in Bozeman, MT

Q: What is Nathaniel Wooten's NPI number?

The NPI number for Nathaniel Wooten is 1457591216. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Q: What is Nathaniel Wooten's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Wooten was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 05, 2009PECOS Enrolled

4580 CONESTOGA CIR, SUITE A, BOZEMAN, MT 59715(406) 451-4148 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Nathaniel Eric Wooten Iii M.d. NPPES

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

DR. NATHANIEL ERIC WOOTEN III M.D. (NPI 1457591216) is an individual specialist in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-7999) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457591216

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. NATHANIEL ERIC WOOTEN IIICredential: M.D.

Location Address4580 CONESTOGA CIR, SUITE ABozeman, MT 59715-9216

Mailing AddressPo Box 6355Bozeman, MT 59771-6355 · (406) 451-4148

Phone(406) 451-4148

Sole ProprietorYes

Enumeration DateMarch 5, 2009

Last NPPES UpdateApril 14, 2016

✔ NPI 1457591216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MT · MED-PHYS-LIC-7999

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.

4580 CONESTOGA CIR, Bozeman, MT 59715

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Other Identifiers 1

Medicare UPINB58788MT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathaniel Eric Wooten Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Nathaniel Wooten's NPI number?

The NPI number for Nathaniel Wooten is 1457591216. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Nathaniel Wooten located?

Nathaniel Wooten practices at 4580 Conestoga Cir Suite A, Bozeman, MT 59715. The listed phone number is (406) 451-4148.

What is Nathaniel Wooten's specialty?

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

Is Nathaniel Wooten enrolled in Medicare?

Yes. Nathaniel Wooten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathaniel Wooten was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.