Active NPI
William R. Mealer, M.D., Inc.
- Ambulatory Surgical Clinic/Center
- Bozeman, MT
National Provider Identifier
1447535869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 9651
- Legal business name
- WILLIAM R. MEALER, M.D., INC.
- Practice address
- 300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551 - Phone
- (406) 585-2700
- Fax
- (406) 585-2751
- NPI assigned
- Oct 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Randall Mealer, MD
- Title
- Sole Shareholder
- Phone
- (406) 585-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 9651 | MT | Primary |
Addresses
Primary practice location
300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551
Mailing address
300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551
Phone (406) 585-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0040154 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
300 N Willson Ave
Ste 300C
Bozeman, MT 59715
Phone (406) 222-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Bozeman, MT
- NPI 1770789323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1447535869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N WILLSON AVE",
"address_2": "SUITE 300-C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153551",
"telephone_number": "406-585-2700",
"fax_number": "406-585-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N WILLSON AVE",
"address_2": "SUITE 300-C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153551",
"telephone_number": "406-585-2700",
"fax_number": "406-585-2751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM R. MEALER, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "MEALER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "SOLE SHAREHOLDER",
"authorized_official_telephone_number": "406-585-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MT",
"license": "9651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0040154",
"state": "MT"
}
],
"endpoints": [],
"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 Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.