IndividualActive
Jacob Wheeler, PA
NPI 1174973564 · Surgical Physician Assistant · Bozeman, MT
Provider details
- NPI number
- 1174973564
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 79505 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
925 Highland Blvd Ste 1100
Bozeman, MT 59715-6900
Phone: (406) 414-4550
Approximate (ZIP-level) locationGet directions
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.