Active NPI
William D Stratford Jr., MD
- Psychiatry Physician
- Missoula, MT
National Provider Identifier
1023146040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3827
- Practice address
- 2831 Fort Missoula Road
Suite 305
Missoula, MT 59804 - Phone
- (406) 327-4075
- Fax
- (406) 327-4559
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3827 | MT | Primary |
Addresses
Primary practice location
2831 Fort Missoula Road
Suite 305
Missoula, MT 59804
Mailing address
2831 Fort Missoula Road
Suite 305
Missoula, MT 59804
Phone (406) 327-4075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09760 | Other | BCBS OF MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3827 | MT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023146040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA ROAD",
"address_2": "SUITE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-327-4075",
"fax_number": "406-327-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA ROAD",
"address_2": "SUITE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-327-4075",
"fax_number": "406-327-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATFORD",
"first_name": "WILLIAM",
"middle_name": "D",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "3827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT",
"identifier": "09760",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.