Individual provider · NPI-1

Dr. Jacob M Breeding, M.D

Surgery · Bozeman, MT

NPI number1891733366
StatusActive
Last updated in NPPESApr 10, 2025

Details

NPI
1891733366
Entity type
Individual (NPI-1)
Name
Dr. Jacob M Breeding
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2006
Certification date
Apr 10, 2025
Last updated
Apr 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryMED-PHYS-LIC-122472MTYes
208600000X Surgery12723AWY

Practice location

925 Highland Blvd Ste 1100
Bozeman, MT 59715-6900

Phone 406-414-5000

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902

Phone 406-414-5000

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