PROVIDENCE HEALTH & SERVICES MT
NPI 1720477953
Neurological Surgery in Missoula, MT

Active since January 12, 2015
500 W BROADWAY ST, MISSOULA, MT 59802(406) 327-1918 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2025, Oct 22, 2021 (2 updates tracked since 2021).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1720477953), doing business as Providence Medical Group Montana, is a healthcare organization registered as a neurological surgery in Missoula, Montana and active in the NPI registry since January 2015. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1720477953
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJanuary 12, 2015
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1720477953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MT · 9574
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

500 W BROADWAY ST, Missoula, MT 59802

Other Names 2

Doing Business AsProvidence Medical Group Montana
Doing Business AsProvidence Medical Group Montana Neurosurgical Specialists

Other Identifiers 1

OtherM000009936MT · Medicare Group Ptan

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

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
500 W BROADWAY ST, SUITE 310
MISSOULA, MT 59802
Specialist
500 W BROADWAY ST
MISSOULA, MT 59802
Emergency Medicine
500 W BROADWAY ST, EMERGENCY DEPARTMENT
MISSOULA, MT 59802
Radiology (Diagnostic Radiology)
500 W BROADWAY ST
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Internal Medicine (Cardiovascular Disease)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Physician Assistant
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine
500 W BROADWAY ST
MISSOULA, MT 59802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720477953, enumerated as an "organization" on January 12, 2015.

The provider is located at 500 W BROADWAY ST MISSOULA, MT 59802 and the phone number is (406) 327-1918.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Medicare. Please consult your insurance carrier or call the provider to verify.