Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Lee Graham, PA-C

Individual provider Physician Assistant · NPI 1376762104

Shane Lee Graham, PA-C is a Physician Assistant in Bozeman, Montana. Qualified in 2005, 21 years ago. Practices with Bozeman Health Urgent Care, a 28-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
21
Licensed in
MT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1006 W Main St
Bozeman, MT 59715-3219
Phone: (406) 414-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MED-PAC-LIC-623 (MT)
Physician Assistant Taxonomy 363A00000X · Licence 623 (MT)

Record details

NPI number1376762104
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Bozeman Health Urgent Care — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Bozeman