Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043205586 Individual Practitioner Male Practitioner

Dr. John Michael Wise , MD

Specialist • Bozeman, MT

Professional Overview & Biography Verified Profile Summary

Dr. John Wise, MD is a registered healthcare professional specializing in Specialist in Bozeman, MT. Practice services are available at 1006 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1006 W Main St

Bozeman, MT 597153219

Telephone 4065868711
Fax 4065872602
Associated Practice Facility / Clinic
🏢 Field Of Dreams Pc Facility NPI 1447244140

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bozeman, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Bozeman, MT (139 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MT 4048

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
930037579 (MT)

Practice Associates & Co-Workers

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

2 Associated Practitioners
June Neeley , FNP

Nurse Practitioner - Family

NPI 1508965369

Family Nurse Practitioner

Dr. Ross Kringlie , MD

Family Medicine

NPI 1912924689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2008

Registered at 1006 W MAIN ST, BOZEMAN, MT 597153219 (Tel: 4065868711)

📍
Updated Business Mailing Address June 17, 2008

Registered at 1006 W MAIN ST, BOZEMAN, MT 597153219 (Tel: 4065868711)

👤
Provider Name / Credentials Updated June 17, 2008

Recorded as JOHN WISE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Specialist (License #4048 in MT)

🟢
Initial NPI Registration & Enumeration September 12, 2005

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: 1043205586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: June 17, 2008
Sole Proprietor: No

Mailing Address

1006 W Main St

Bozeman, MT 597153219

Phone: 4065868711

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.