Provider Demographics
NPI:1881680510
Name:ADAMS, ERIK STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STUART
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4181 FALLON ST
Mailing Address - Street 2:ST 2
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4400
Mailing Address - Country:US
Mailing Address - Phone:406-586-2865
Mailing Address - Fax:406-558-2891
Practice Address - Street 1:4181 FALLON ST
Practice Address - Street 2:STE 2
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-4400
Practice Address - Country:US
Practice Address - Phone:406-586-2865
Practice Address - Fax:406-558-2891
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI36872-020204C00000X
MT50485207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1164083531OtherGROUP NPI
WIG41381Medicare UPIN