Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Gavin Vines, MD

Individual provider Psychiatry Physician · NPI 1720122203

Dr. Derek Gavin Vines, MD is a Psychiatry Physician in Bozeman, Montana. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

950 W Grant St Student Wellness Center Medical Services Ste 2200
Bozeman, MT 59717
Phone: (406) 994-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 26173 (MT)

Record details

NPI number1720122203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 16, 2007
Last updated in NPPESMarch 28, 2025
Certification dateMarch 26, 2025
Mailing address208 Flynn Ave, Suite 3j, Burlington, VT 05401-5429

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