Active NPI
Robert E Stockdale, M.D.
- Urology Physician
- Billings, MT
National Provider Identifier
1033201181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5350
- Practice address
- 2900 12TH Ave N
Ste 503E
Billings, MT 59101 - Phone
- (406) 237-5400
- Fax
- (406) 237-5420
- NPI assigned
- Sep 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5350 | MT | Primary |
| Urology Physician | 208800000X | 1697521205 | UT | |
| Urology Physician | 208800000X | 3895A | WY |
Addresses
Primary practice location
2900 12TH Ave N
Ste 503E
Billings, MT 59101
Mailing address
2900 12TH Ave N
Ste 503E
Billings, MT 59101
Phone (406) 237-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091851 | Medicaid | 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 |
|---|---|---|---|
| 5350 | MT | MD | Urology Physician |
| 1697521205 | UT | MD | Urology Physician |
| 3895A | WY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033201181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "STE 503E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-237-5400",
"fax_number": "406-237-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "STE 503E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-237-5400",
"fax_number": "406-237-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKDALE",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MT",
"license": "5350",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "1697521205",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WY",
"license": "3895A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091851",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, 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.