NPIMap

Individual provider Active NPI

Geraldine Bernice Mournian, M.D.

  • Family Medicine Physician
  • Crow Agency, MT
National Provider Identifier
1275735748
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12153 Issued in MT
Practice address
10110 S 7650 E
PHS Indian Hospital
Crow Agency, MT 59022
Phone
(406) 638-3300
Fax
(406) 638-3572
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12153 MT Primary
Family Medicine Physician 207Q00000X MD27510 OR

Addresses

Primary practice location

10110 S 7650 E
PHS Indian Hospital
Crow Agency, MT 59022

Mailing address

RR 1 Box 1274B
Hardin, MT 59034-9725
Phone (503) 754-1204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000383 MT Practitioner - Family Practice 2062557648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Montana P CGroup PAC ID 4486712833, 82 clinicians

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 657-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12153MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana CurrentSince Sep 6, 2011 Accepting new patients
SCL Health Montana Current Accepting new patients
Hospitalist Medicine Physicians of Montana - TCS PC Family Medicine CurrentSince Feb 12, 2022 Accepting new patients
SCL Health Montana CurrentSince Sep 6, 2011 Accepting new patients
Cogent Healthcare of Montana P C Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
St. Vincent Healthcare Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1233 N 30th St
#3
Billings, MT 59101
Phone (406) 237-3850

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: gmournian33150@direct.intermountainhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 271519 Hospice W-2 Managing Employee Jan 19, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1275735748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1274B",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590349725",
            "telephone_number": "503-754-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 S 7650 E",
            "address_2": "PHS INDIAN HOSPITAL",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3300",
            "fax_number": "406-638-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURNIAN",
        "first_name": "GERALDINE",
        "middle_name": "BERNICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12153",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crow Agency, MT

Sources for this page

Verify at the official NPI Registry.