Individual provider Active NPI

Pepper J Kerr, MD

  • Pediatrics Physician
  • Bozeman, MT
National Provider Identifier
1215952049
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10083 Issued in MT
Practice address
937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916
Phone
(406) 414-4900
NPI assigned
Jul 13, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10083 MT Primary

Addresses

Primary practice location

937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-4900

Other practice location 1

334 Town Center Ave
Big Sky, MT 59716
Phone (406) 995-6995

Other identifiers 2

IdentifierTypeStateIssuer
47658MedicaidMT
91005OtherMTBCBS

Other names 1

  • Pepper J Henyon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phenyon7291027@direct.sanfordhealth.org Direct Bozeman Health Deaconess Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20080121000154 MT Practitioner - Pediatric Medicine 5193806701 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10083MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2016 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Jul 18, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Jul 18, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Medical Associates PC Past Accepting new patients
Hallie Bornstein Banziger PHD LLC Past Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3220
Bozeman, MT 59715
Phone (406) 414-5336

935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311

937 Highland Blvd
Ste 5320
Bozeman, MT 59715
Phone (406) 414-4570

Interoperability endpoints

  • Direct secure messaging: phenyon7291027@direct.sanfordhealth.org

Organizations & group practices 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1215952049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5320",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Town Center Ave",
            "address_purpose": "LOCATION",
            "city": "Big Sky",
            "state": "MT",
            "postal_code": "59716",
            "country_code": "US",
            "telephone_number": "406-995-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "PEPPER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "10083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47658",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91005",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phenyon7291027@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Deaconess Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "937 Highland Blvd Ste 5320",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEPPER",
            "last_name": "HENYON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.