Individual provider Active NPI

Harold B Nims, M.D.

  • Family Medicine Physician
  • Poplar, MT
National Provider Identifier
1043352420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009438 Issued in MI
Practice address
107 H. St. East
Poplar, MT 59255
Phone
(406) 768-3491
Fax
(406) 768-3423
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009438 MI Primary

Addresses

Primary practice location

107 H. St. East
Poplar, MT 59255

Mailing address

107 H. St. East
P.O. Box 67
Poplar, MT 59255
Phone (406) 768-3491

Other identifiers 1

IdentifierTypeStateIssuer
2210068MedicaidMT

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Genesys Regional Medical Center Past Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043352420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 H. ST. EAST",
            "address_2": "P.O. BOX 67",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H. ST. EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "HAROLD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210068",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar, 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.

Verify at the official NPI Registry.