Whalio Doctors

NPI 1972611481

Bradley Kevin Coots, MD

Practitioner Plastic Surgery Physician Missoula, MT

Practice location

Address
500 W Broadway St Fl 4, Missoula, MT 59802-4008
Phone
(406) 329-5866
Fax
(406) 329-5864
Mailing address
PO Box 31001-4110, Pasadena, CA 91110-4110

Registered specialties (4)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MED-PHYS-LIC-76243 (MT)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 39703 (IA)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 27081 (NE)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 9162 (SD)

Registry record

NPI
1972611481
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Aug 2006
Record last updated
6 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.