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Deactivated NPI 1730111428 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Bruce Montgomery , MD

Surgery • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Montgomery has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2006
NPI Deactivation Date February 06, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Montgomery, MD was a registered Surgery practicing in Boise, ID. Throughout an active medical career spanning 13 years, Dr. Montgomery provided care at the practice location at 777 N RAYMOND ST until profile deactivation on 2019-02-06.

Practice Location & Contact Primary Location

Practice Address

777 N Raymond St

Boise, ID 837049251

Telephone 2083676030
Fax 2083676123
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
44 Specialists

Practicing in Boise, ID (187 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M2807

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Steve Kerr , MSW, LCSW

Counselor - Professional

NPI 1083641625

Master of Social Work, Licensed Clinical Social Worker

Dr. Justin Glass , MD

Family Medicine

NPI 1194820852

Doctor of Medicine (M.D.)

Dr. Olivia Galvez , MD

Family Medicine

NPI 1215975677

Doctor of Medicine (M.D.)

Charles Sherwood , PA-C

Physician Assistant

NPI 1215979000

Physician Assistant (Certified)

Dr. Derek Jackson , MD

Family Medicine

NPI 1225299357

Doctor of Medicine (M.D.)

NPI 1275577207

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 06, 2019

Record deactivated on February 06, 2019

NPI Profile Active June 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2009

Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2083676030)

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Updated Business Mailing Address June 24, 2009

Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2083676030)

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Provider Name / Credentials Updated June 24, 2009

Recorded as ROBERT MONTGOMERY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2009

Surgery (License #M2807 in ID)

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Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730111428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: June 24, 2009
Deactivation Date: February 06, 2019

Mailing Address

777 N Raymond St

Boise, ID 837049251

Phone: 2083676030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.