Active NPI
William Breck Howard, MD
- Neuroradiology Physician
- Superior, MT
National Provider Identifier
1548253131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 3387
- Practice address
- 1208 6TH Ave
Superior, MT 59872-9667 - Phone
- (406) 826-4506
- Fax
- (406) 826-0143
- NPI assigned
- Aug 30, 2005
- Last updated
- Mar 28, 2008
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 3387 | MT | Primary |
Addresses
Primary practice location
1208 6TH Ave
Superior, MT 59872-9667
Mailing address
PO Box 1020
Plains, MT 59859-1020
Phone (406) 826-6600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300134948 | Other | MT | RR MEDICARE |
| 0020150 | Medicaid | MT | |
| 1102136 | Medicaid | WA | |
| P00399528 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 3387 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurorad, PLLC | Neuroradiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neuroradiology Physician
- Plains, MT
- NPI 1083623029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1548253131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "PLAINS",
"state": "MT",
"postal_code": "598591020",
"telephone_number": "406-826-6600",
"fax_number": "406-826-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 6TH AVE",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598729667",
"telephone_number": "406-826-4506",
"fax_number": "406-826-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "WILLIAM",
"middle_name": "BRECK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MT",
"license": "3387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300134948",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020150",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102136",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00399528",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Superior, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.