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

Mr. Kenneth Bogart, PA

Individual provider Physician Assistant · NPI 1770520058

Mr. Kenneth Bogart, PA is a Physician Assistant in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

323 W Alder St
Missoula, MT 59802-4123
Phone: (406) 258-4191
Fax: (406) 258-4180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 28 (MT)

Record details

NPI number1770520058
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 13, 2026

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