Search › Montana › 363A00000X
Jacob Tisevich, PA
NPI 1811508914 · on the registry since 2020
Practice
- Address
- 3400 Laramie Dr
Bozeman, MT 59718 - Phone
- (406) 587-0122
- Fax
- (844) 656-2480
- Organisation at this address
- Bridger Orthopedics And Sports Medicine, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana