Individual provider Active NPI

Jeffrey Howard Walden, MD

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1548571987
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88785 Issued in MT
Practice address
401 Railroad St W
Missoula, MT 59802-4109
Phone
(406) 258-4789
NPI assigned
Jun 30, 2010
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 165698 NC
Hospitalist Physician 208M00000X 2012-02394 NC
Family Medicine Physician 207Q00000X 88785 MT Primary

Addresses

Primary practice location

401 Railroad St W
Missoula, MT 59802-4109

Mailing address

401 Railroad St W
Missoula, MT 59802-4109
Phone (406) 258-4789

Other practice location 1

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-8383

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwalden1382815@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130905000572 NC Practitioner - Family Practice 7214170570 Reassigns benefits to 3 organizations
I20200821002046 MT Practitioner - Family Practice 7214170570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Montana P CGroup PAC ID 4486712833, 82 clinicians
Partnership Health Center IncGroup PAC ID 6103843479, 51 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

3050 Mt Hwy 83 N
Seeley Lake, MT 59868-8620
Phone (406) 677-2277

323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4789

401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88785MTMDFamily Medicine Physician
165698NCMDFamily Medicine Physician
2012-02394NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Moses Cone Physician Services Inc Hospitalist CurrentSince Dec 30, 2013 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 10, 2024 Accepting new patients
Partnership Health Center Inc Family Medicine Current Accepting new patients
Partnership Health Center Inc CurrentSince Aug 26, 2020 Accepting new patients
Moses Cone Physician Services, Inc Family Medicine CurrentSince Dec 30, 2013 Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Dec 10, 2024 Accepting new patients
Partnership Health Center Inc CurrentSince Aug 26, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 1, 2013 Accepting new patients

Locations

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802

102 Pomona Dr
Greensboro, NC 27407
Phone (336) 299-0000

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1125 N Church St
Greensboro, NC 27401
Phone (336) 832-8035

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1635 NC Highway 66 S
Ste 175
Kernersville, NC 27284
Phone (336) 993-6120

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: jwalden1382815@wm.providencedirect.org
  • Direct secure messaging: jwalden1643421@direct.novanthealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1548571987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "406-258-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "406-258-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Silas Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033013",
            "country_code": "US",
            "telephone_number": "336-718-8383",
            "fax_number": "336-718-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "165698",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2012-02394",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "88785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwalden1382815@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "401 Railroad St W",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.