Provider Demographics
NPI:1275657371
Name:ROBERTSON, JAMES BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRUCE
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:205 RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9253
Mailing Address - Country:US
Mailing Address - Phone:406-551-2306
Mailing Address - Fax:855-544-7367
Practice Address - Street 1:711 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3356
Practice Address - Country:US
Practice Address - Phone:406-551-2306
Practice Address - Fax:855-544-7367
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT7537208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology