Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Larry James Bonderud, O.D.

Optometrist in Shelby, MT · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164414322

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Registry record

Entity type Individual (Type 1)

Name Dr. Larry James Bonderud

Credential O.D.

Sex Male

Practice address Shelby, MT, 59474

Phone (406) 434-5196

Fax (406) 434-5197

Enumeration date Aug 15, 2005

Last updated in NPPES May 26, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 393 (MT) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
25830	Other	MT	BC/BS PROVIDER #
410016078	Other	MT	RAILROAD PROVIDER #
393	Other	MT	STATE TAX ID #
MSF0007633	Other	MT	MT STATE FUND PROVIDER #
0481389	Medicaid	MT	-
810378082001	Other	MT	EBMS PROVIDER #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Larry Bonderud's NPI record?

Cross-check NPI 1164414322 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1164414322 active?

Yes, as of the latest NPPES snapshot, NPI 1164414322 is active (record last updated 2010-05-26).

Other providers at this practice address

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Bryan Haight General Practice Dentistry · Shelby, MT NPI 1114968831 John Moore General Practice Dentistry · Shelby, MT NPI 1083777684 Dylan Weishaar General Practice Dentistry · Shelby, MT NPI 1093244212 Joren Bonderud Optometrist · Shelby, MT NPI 1679063853 Gregory Jefferson Dentist · Shelby, MT NPI 1669109229

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-26.