Steven Bradley Sonntag, MD

Individual provider Active NPI General Practice Physician · Lame Deer, MT

NPI 1215005335 · NPPES record last updated Jan 31, 2018

Key facts

NPI
1215005335
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
10265 (MT)
Practice address
100 Cheyenne Ave.
Lame Deer, MT 59043-0070
Phone
(406) 477-4484
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Emergency Medicine
Also: Family Practice
Education
University of New Mexico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human Services (98 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10265MTMDGeneral Practice Physician

Practice roles

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

Specialties & licenses

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

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

Other providers in Lame Deer, MT

All providers in Lame Deer, MT · General Practice Physician in Montana

Sources for this page

Verify at the official NPI Registry.