BOZEMAN PRIMARY CARE
NPI 1477020824
Family Medicine in Bozeman, MT
About Bozeman Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOZEMAN PRIMARY CARE (NPI 1477020824) is a healthcare organization registered as a family medicine in Bozeman, Montana and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Terry Scott Edwards, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Waiver 27D2159316
Bozeman Primary Care · Bozeman, MTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Primary Care PLLC's NPI number?
The NPI number for Bozeman Primary Care PLLC is 1477020824. It was assigned to this organization in the NPPES registry on October 24, 2018. The provider is doing business as Bozeman Primary Care.
Where is Bozeman Primary Care PLLC located?
Bozeman Primary Care PLLC is located at 4535 Valley Commons Dr Ste 104, Bozeman, MT 59718. The listed phone number is (406) 404-1525.
What is Bozeman Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Bozeman Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 27D2159316) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bozeman Primary Care PLLC accept?
Health plans from Blue Cross and Blue Shield of Montana list Bozeman Primary Care PLLC 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 Primary Care PLLC was last updated on June 17, 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.
# Bozeman Primary Care · NPI 1477020824
Family Medicine organization in Bozeman, Montana. Organization record, active in the CMS NPPES registry since October 24, 2018.
## Identity
- **NPI:** 1477020824 (Entity type: Organization)
- **Enumerated:** October 24, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Bozeman Primary Care Pllc
- **Organization subpart:** No
- **Authorized official:** Terry Edwards, OWNER
## Practice location
- **Address:** 4535 VALLEY COMMONS DR STE 104, Bozeman, MT 59718-4160
- **Phone:** (406) 404-1525
## Record status
- **NPPES last updated:** June 17, 2019
- **Other identifiers:** Medicaid 8210759 (MT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477020824) · Data from the CMS NPPES public registry.