| Dr Timothy Bradford Richards, MD | |
| 
					2831 Fort Missoula Rd, Suite 104, Missoula, MT 59804-7419  | |
| (406) 728-0285 | |
| (406) 728-0613 | 
| Full Name | Dr Timothy Bradford Richards | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 2831 Fort Missoula Rd, Missoula, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841283785 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 7987 (Montana) | Primary | 
| Entity Name | Community Surgical Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124013354 PECOS PAC ID: 8921027020 Enrollment ID: O20051117000830  | 
| Entity Name | Rchp Billings - Missoula Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492  | 
| Entity Name | Healogics Specialty Physicians Of Montana Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386199933 PECOS PAC ID: 9335420439 Enrollment ID: O20170104000881  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Timothy Bradford Richards, MD 2831 Fort Missoula Rd, Suite 104, Missoula, MT 59804-7419 Ph: (406) 728-0285  | Dr Timothy Bradford Richards, MD 2831 Fort Missoula Rd, Suite 104, Missoula, MT 59804-7419 Ph: (406) 728-0285  | 
Charles J Swannack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-829-0661  | |
Dr. Vern Hicks Horton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804 Phone: 406-728-4100 Fax: 406-327-4502  | |
Vicente Jose Undurraga Perl, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Fl 4, Missoula, MT 59802 Phone: 406-329-5828 Fax: 406-329-5864  | |
Jason Richard Hurd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-329-5615 Fax: 406-329-2791  | |
Lori A Grimsley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-542-7592  | |
Anne Manktelow, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Ste 306 Pediatric Surgery Of Montana, Missoula, MT 59804 Phone: 406-327-4730  | |
Dr. Kelsi Jeanette Jore Swanson, MD Surgery Medicare: Medicare Enrolled Practice Location: 2819 Great Northern Loop Ste 200, Missoula, MT 59808 Phone: 406-542-7525 Fax: 406-829-0661  |