BRYCE T DOAK (NPI# 1558647792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558647792 |
| Entity Type | Individual |
| Full Name | BRYCE T DOAK |
| Credential | PA-C |
| Practice Address |
2900 12th Ave N Suite 140w Billings MT 59101-7506 |
| Practice Telephone | 4062386550 |
| Practice Fax Number | 4062386599 |
| Mailing Telephone | 4062386550 |
| Mailing Fax Number | 4062386599 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
675 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2900 12TH AVE N SUITE 140W |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696011 | Paul W. Holley | Pathology | 2900 12th Ave N, Ste 295w, Billings, MT 59101-7506 | 2005-06-01 |
| 1720528300 | Amy Lewis | Speech-Language Pathologist | 2900 12th Ave N, Suite 10w, Billings, MT 59101-7506 | 2017-03-02 |
| 1063951747 | Tessa C Gibbins | Occupational Therapist | 2900 12th Ave N, Suite 10w, Billings, MT 59101-7506 | 2017-02-15 |
| 1346787074 | Jennifer Linton | Specialist/Technologist | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7506 | 2017-01-19 |
| 1801332986 | Kristi Elizabeth Monson | Pharmacist | 2900 12th Ave N, Suite 101w, Billings, MT 59101-7506 | 2017-01-12 |
| 1366994691 | Andrew E Taylor | Physician Assistant | 2900 12th Ave N, Suite 503e, Billings, MT 59101-7506 | 2016-11-03 |
| 1770034472 | Tiffany Stensvad | Advanced Practice Midwife | 2900 12th Ave N, Suite 245w, Billings, MT 59101-7506 | 2016-10-18 |
| 1194274548 | Dustin Wondercheck | Physician Assistant | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7506 | 2016-09-27 |
| 1447708227 | Holly Brehm | Physician Assistant | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7506 | 2016-09-21 |
| 1205384690 | Christine Moen | Physician Assistant | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881604668 | Harley G Morrell | Physician Assistant | 2877 Overland Ave Ste C, Billings, MT 59102-7465 | 2006-08-08 |
| 1447802178 | Reid Merrill Gage | Physician Assistant | 801 N 29th St, Billings, MT 59101-0905 | 2019-07-12 |
| 1083192025 | Tyson Vanderby | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2018-08-01 |
| 1205384690 | Christine Moen | Physician Assistant | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2016-09-14 |
| 1902237167 | Christina Richardson | Physician Assistant | 2800 10th Ave N, Billings, MT 59101-0703 | 2013-12-12 |
| 1629328885 | Kellan Shenton Harris | Physician Assistant | 2900 12th Ave N, Ste 400e, Billings, MT 59101-7506 | 2012-09-14 |
| 1942583703 | Shawn Daniel Coleman | Physician Assistant | 1233 N 30th St, Billings, MT 59101-0127 | 2011-09-27 |
| 1720278484 | Ted J Cerise Jr. | Physician Assistant | 2900 12th Ave N Ste 100e, Billings, MT 59101-7504 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598965097 | Travis Lee Harris | Physician Assistant | 500 W. Broadway, Suite 320, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-07-23 |
| 1457576407 | Rosalee Shorter | Physician Assistant | 341 Montana Hwy 135, Saint Regis, MT 59866-0176 | 2007-04-16 |
| 1245341874 | Tracy Edward Rogers | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-08-31 |
| 1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
| 1174973564 | Jacob Wheeler | Physician Assistant | 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 | 2016-06-15 |
| 1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
| 1437541471 | Stephen Andrew Shepro | Physician Assistant | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2015-02-27 |
| 1346642667 | Jennifer Vollmer | Physician Assistant | 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 | 2014-09-17 |
| 1205266053 | Tyler Wagstaff | Physician Assistant | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2013-11-14 |
| 1033558887 | Alpine Orthopedics | Physician Assistant | 536 Cottonwood Rd, Bozeman, MT 59718 | 2013-06-14 |
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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.