Individual provider Active NPI

Steven Bradley Sonntag, MD

  • General Practice Physician
  • Lame Deer, MT
National Provider Identifier
1215005335
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10265 Issued in MT
Practice address
100 Cheyenne Ave.
Lame Deer, MT 59043-0070
Phone
(406) 477-4484
NPI assigned
Nov 30, 2006
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10265 MT Primary

Addresses

Primary practice location

100 Cheyenne Ave.
Lame Deer, MT 59043-0070

Mailing address

PO Box 822
4 Miles South on Muddy Creek Rd.
Lame Deer, MT 59043-0822
Phone (406) 477-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221001071 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0143127639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of New Mexico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Cheyenne Ave
Lame Deer, MT 59043-0000
Phone (406) 477-4451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10265MTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of HHS CurrentSince Sep 9, 2002 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Sep 9, 2002 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1215005335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "address_2": "4 MILES SOUTH ON MUDDY CREEK RD.",
            "city": "LAME DEER",
            "state": "MT",
            "postal_code": "590430822",
            "telephone_number": "406-477-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHEYENNE AVE.",
            "city": "LAME DEER",
            "state": "MT",
            "postal_code": "590430070",
            "telephone_number": "406-477-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "STEVEN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lame Deer, MT

Sources for this page

Verify at the official NPI Registry.