DR. CLAYTON IRWIN BROVOLD (NPI# 1114142411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114142411 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON IRWIN BROVOLD |
| Credential | DC |
| Practice Address |
49665 Us Highway 93 Polson MT 59860-2301 |
| Practice Telephone | 4068834234 |
| Practice Fax Number | 4068834297 |
| Mailing Telephone | 4068834234 |
| Mailing Fax Number | 4068834297 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 392 | MT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0000166243 | 05 | |
| MT | 0000166244 | 05 |
| Street Address |
49665 US HIGHWAY 93 |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757476 | Oliver Mayhew Whipple IIi | Chiropractor | 601 4th Ave E, Polson, MT 59860-2418 | 2007-04-10 |
| 1548208267 | Pamela S Sandall | Chiropractor | 801 4th Ave E, Polson, MT 59860-7020 | 2006-06-03 |
| 1619581147 | Norman Collins II Dc | Chiropractor | 801 4th Ave E, Polson, MT 59860-7020 | 2020-09-02 |
| 1427452960 | Norman Ellsworth Collins II | Chiropractor | 801 4th Ave E, Polson, MT 59860-7020 | 2014-10-13 |
| 1740342583 | Thomas Arthur Konen | Chiropractor | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-12-15 |
| 1437197936 | Polson Family Chiropractic Inc. | Chiropractor | 801 4th Ave E, Polson, MT 59860-7020 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277024 | Morgan Kumpula | Chiropractor | 235 N 1st St W Ste A, Missoula, MT 59802-3661 | 2020-08-25 |
| 1588288583 | Tyler Torkelson | Chiropractor | 515 S Reserve St Ste 3, Missoula, MT 59801-2125 | 2020-06-04 |
| 1679192355 | Garrett Clinton Irene | Chiropractor | 926 Main St Ste 15, Billings, MT 59105-3359 | 2020-04-13 |
| 1801421672 | Shayne Michael Durbin | Chiropractor | 2110 Overland Ave Ste 103, Billings, MT 59102-6440 | 2020-03-11 |
| 1174157200 | Xseed Chiropractic LLC | Chiropractor | 3576 Mt Highway 40 W, Columbia Falls, MT 59912 | 2020-02-27 |
| 1467082990 | Maggie Grace Quigley | Chiropractor | 5835 Us Highway 93 S, Whitefish, MT 59937-8414 | 2020-01-23 |
| 1023657632 | Erik Morrell | Chiropractor | 2405 W Main St Ste 8, Bozeman, MT 59718-3978 | 2019-12-30 |
| 1104462522 | Havre Chiropractic Clinic, LLC | Chiropractor | 1465 Us Highway 2 Nw Ste D, Havre, MT 59501-3423 | 2019-11-20 |
| 1235774241 | Highland Family Chiropractic, P.C. | Chiropractor | 128 W Granite St, Butte, MT 59701-9216 | 2019-11-13 |
| 1679116842 | Marcus Dobbins | Chiropractor | 62 S Last Chance Gulch Ste A, Helena, MT 59601-4149 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.