Individual
MR. TOD RUSSELL STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1050 E MAIN ST STE 2, BOZEMAN, MT 59715-3823
(406) 587-8478
(406) 582-0730
Mailing address
401 S ALABAMA ST STE 10, BUTTE, MT 59701-2358
(406) 587-8478
(406) 582-0730
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MT129
MT
213ES0131X
Foot Surgery Podiatrist
Primary
129
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012311
BLUE CROSS BLUE SHIELD
—
01
—
000082949
MEDICARE GROUP
MT
05
—
0390354
—
MT
01
—
480021489
RAILROAD MEDICARE
—
Enumeration date
09/21/2006
Last updated
03/18/2026
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