Individual provider Active NPI

David Stern, M.D.

  • Internal Medicine Physician
  • Belgrade, MT
National Provider Identifier
1568449742
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29585 Issued in MT
Practice address
403 W Main St
Belgrade, MT 59714-3847
Phone
(406) 388-8708
Fax
(406) 388-8710
NPI assigned
Dec 28, 2005
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0056916 CO
Internal Medicine Physician 207R00000X 29585 MT Primary

Addresses

Primary practice location

403 W Main St
Belgrade, MT 59714-3847

Mailing address

10100 Forest Hills Rd
Machesney Park, IL 61115-8234
Phone (815) 713-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056916COMDInternal Medicine Physician
29585MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fastrac Medical, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1568449742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 FOREST HILLS RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611158234",
            "telephone_number": "815-713-2600",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143847",
            "telephone_number": "406-388-8708",
            "fax_number": "406-388-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056916",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "29585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

Verify at the official NPI Registry.