IndividualActive
Jaclyn Bender, DO
NPI 1811420334 · Pediatrics Physician · Bozeman, MT
Provider details
- NPI number
- 1811420334
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30050 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916
Phone: (406) 414-5000
Street-level locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Additional practice locations (3)
- 2450 Riverside Ave # Ao-102Minneapolis, MN 55454-1450Phone: (612) 624-3113
- 2925 Chicago AveMinneapolis, MN 55407-1321Phone: (612) 863-4000Fax: (763) 236-3026
- 1665 Utica Ave SSt Louis Park, MN 55416-3474Phone: (952) 541-2500
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.