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Active NPI 1598873440 Individual Practitioner Male Practitioner

Dr. John L Waller , MD

General Practice • Bozeman, MT

Professional Overview & Biography Verified Profile Summary

Dr. John Waller, MD is a registered healthcare professional specializing in General Practice in Bozeman, MT. Practice services are available at 206 WESTLAKE PARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 Westlake Park Blvd

Bozeman, MT 597188081

Telephone 8437439667

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bozeman, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Bozeman, MT (40 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-10-17
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MT 50236

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 17, 2024

Registered at 206 WESTLAKE PARK BLVD, BOZEMAN, MT 597188081 (Tel: 8437439667)

📍
Updated Business Mailing Address October 17, 2024

Registered at 206 WESTLAKE PARK BLVD, BOZEMAN, MT 597188081 (Tel: 8437439667)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2024

General Practice (License #50236 in MT)

✅
NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2011

Registered at 171 ASHLEY AVE, CHARLESTON, SC 294250001 (Tel: 8437921414)

📍
Updated Business Mailing Address September 06, 2011

Registered at PO BOX 751461, CHARLOTTE, NC 282751461 (Tel: 8437926200)

👤
Provider Name / Credentials Updated September 06, 2011

Recorded as JOHN WALLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Anesthesiology (License #23009 in SC)

🟢
Initial NPI Registration & Enumeration August 29, 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: 1598873440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: October 17, 2024
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

206 Westlake Park Blvd

Bozeman, MT 597188081

Phone: 8437439667

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.