Active NPI
David J Park, D.O.
- Family Medicine Physician
- Billings, MT
National Provider Identifier
1306858790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99411
- Practice address
- 123 S 27TH St
Billings, MT 59101-4227 - Phone
- (406) 247-3350
- Fax
- (406) 247-3389
- NPI assigned
- Aug 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 99411 | MT | Primary |
Addresses
Primary practice location
123 S 27TH St
Billings, MT 59101-4227
Mailing address
4220 Creekwood Dr
Billings, MT 59106-8601
Phone (702) 985-1159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306858790 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 S 27TH St
Billings, MT 59101-4227
Phone (406) 247-3200
Hospital & facility affiliations
- Billings Clinic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99411 | MT | MD | Family Medicine Physician |
| 6998 | NV | MD | Pediatrics Physician |
| 1266 | NV | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowstone City-County Health Dept | Current | Accepting new patients | |
| Yellowstone City-County Health Department | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Family Medicine | Past | Accepting new patients |
| Nopah Vista Emergency Physicians LLC | Past | Accepting new patients | |
| Emcare Physician Providers Inc | Past | Accepting new patients | |
| Hoover Emergency Physicians LLC | Past | Accepting new patients |
Locations
123 S 27th St
Billings, MT 59101
Phone (406) 247-3200
Interoperability endpoints
- parkd029@yourcarecommunity.org
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.
-
- Federally Qualified Health Center (FQHC)
- Billings, MT
- NPI 1841219698
-
- Federally Qualified Health Center (FQHC)
- Billings, MT
- NPI 1528575685
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1558310797
-
- Emergency Medicine Physician
- Boulder City, NV
- NPI 1063713790
-
- Emergency Medicine Physician
- Pahrump, NV
- NPI 1396794095
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1306858790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 CREEKWOOD DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591068601",
"telephone_number": "702-985-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S 27TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014227",
"telephone_number": "406-247-3350",
"fax_number": "406-247-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "DAVID",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "99411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306858790",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.