Active NPI
Anders V Persson, MD
- Pulmonary Disease Physician
- Bozeman, MT
National Provider Identifier
1194747139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 8249
- Practice address
- 905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903 - Phone
- (406) 522-2400
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 19, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8249 | MT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 8249 | MT | |
| Pulmonary Disease Physician | 207RP1001X | 8249 | MT | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 8249 | MT |
Addresses
Primary practice location
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Mailing address
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone (406) 522-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00124136 | Other | MEDICARE RAILROAD | |
| 0091392 | Medicaid | MT | |
| 000014781 | Other | BCBS |
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 |
|---|---|---|---|
| 8249 | MT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1194747139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 HIGHLAND BLVD STE 4500",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156903",
"telephone_number": "406-522-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HIGHLAND BLVD STE 4500",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156903",
"telephone_number": "406-522-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSSON",
"first_name": "ANDERS",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "8249",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MT",
"license": "8249",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MT",
"license": "8249",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MT",
"license": "8249",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00124136",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091392",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000014781",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.