Neurorad, PLLC

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

3387 Issued in MT

Legal business name

NEURORAD, PLLC

Practice address

110 Kruger Rd
Plains, MT 59859-9234

Phone

(208) 667-9334

Fax

(208) 664-2341

NPI assigned

Aug 7, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Breck Howard, MDNPI 1548253131

Title

Owner

Phone

(406) 826-4506

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Breck Howard, MD

  • Neuroradiology Physician
  • Superior, MT
  • NPI 1548253131
  NPD (past) Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1083623029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598591020",
            "telephone_number": "208-667-9334",
            "fax_number": "208-664-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KRUGER RD",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599234",
            "telephone_number": "208-667-9334",
            "fax_number": "208-664-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORAD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-826-4506",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MT",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020150",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Reich Martin, M.D.
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• Neuroradiology Physician in Plains, MT
• Providers in Plains, MT by specialty
• Neuroradiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.