Individual provider Active NPI

Mary Cecilia Desrosier, M.D.

  • Family Medicine Physician
  • Browning, MT
National Provider Identifier
1467672287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5936 Issued in ND
Practice address
760 Piegan Street
Browning, MT 59417
Phone
(406) 338-6161
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5936 ND Primary

Addresses

Primary practice location

760 Piegan Street
Browning, MT 59417

Mailing address

760 Hospital Circle
Browning, MT 59417
Phone (406) 338-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110131001011 TX Practitioner - Family Practice 8527247956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5936NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Oct 29, 2015 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 29, 2015 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Blackfeet Tribe Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 5

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467672287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HOSPITAL CIRCLE",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PIEGAN STREET",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIER",
        "first_name": "MARY",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "5936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browning, MT

Sources for this page

Verify at the official NPI Registry.