Individual provider · Type 1 NPI

Brad Matthew Hertzog, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Missoula, MT

NPI number 1659165017 Active

Practice location

3885 W Broadway St
Missoula, MT 59808-5796

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN.1639037 (CO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPN.1002309-NP (CO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1659165017

Brad Matthew Hertzog, PMHNP-BC's National Provider Identifier is 1659165017, issued on Apr 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Missoula, MT. The record was last updated on Oct 28, 2026.