Active NPI
Robert A Hathaway, MD
- Internal Medicine Physician
- Bozeman, MT
National Provider Identifier
1427068295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3533
- Practice address
- 937 Highland Blvd Ste 5410
Bozeman, MT 59715-6916 - Phone
- (406) 414-2400
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3533 | MT | Primary |
Addresses
Primary practice location
937 Highland Blvd Ste 5410
Bozeman, MT 59715-6916
Mailing address
937 Highland Blvd
Ste 5410
Bozeman, MT 59715-6916
Phone (406) 414-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000018531 | Other | BCBS MT | |
| 110141238 | Other | MEDICARE RAILROAD | |
| 0088978 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhathaway7291022@direct.sanfordhealth.org | Direct | Bozeman Health Deaconess Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3533 | MT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1427068295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 HIGHLAND BLVD",
"address_2": "STE 5410",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156916",
"telephone_number": "406-414-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 HIGHLAND BLVD STE 5410",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156916",
"telephone_number": "406-414-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "3533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MT",
"identifier": "000018531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110141238",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088978",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhathaway7291022@direct.sanfordhealth.org",
"affiliation": "Y",
"affiliationName": "Bozeman Health Deaconess Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "937 Highland Blvd Ste 5410",
"city": "Bozeman",
"state": "MT",
"country_code": "US",
"postal_code": "597156916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.