NPIMap

Individual provider Active NPI

Jon Brant McGregor, M. D.

  • Cardiovascular Disease Physician
  • Missoula, MT
National Provider Identifier
1619925575
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MED-PHYS-LIC-89184 Issued in MT
Practice address
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone
(406) 329-5615
Fax
(406) 329-5606
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J7580 TX
Nuclear Cardiology Physician 207UN0901X J7580 TX
Cardiovascular Disease Physician 207RC0000X MED-PHYS-LIC-89184 MT Primary

Addresses

Primary practice location

500 W Broadway St Ste 320
Missoula, MT 59802-4003

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-5615

Other practice location 1

7737 Southwest Fwy
Suite 780
Houston, TX 77074-1807
Phone (713) 988-9512

Other practice location 2

2829 Great Northern Loop
Missoula, MT 59808-1752
Phone (406) 541-7000

Other identifiers 2

IdentifierTypeStateIssuer
132066508MedicaidTX
P00411171OtherTXRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmcgregor1349092@wm.providencedirect.org Direct
Direct Messaging Address jmcgregor1349092@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201016000294 MT Practitioner - Cardiovascular Disease (Cardiology) 5991785156 Reassigns benefits to 1 organization
I20241202000102 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991785156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • The McDowell Hospital Hospital, Marion, NC, CCN 340087
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-89184MTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Aug 26, 2024 Accepting new patients
Credena Health LLC CurrentSince Sep 1, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Aug 26, 2024 Accepting new patients
Providence St Joseph Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

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

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

5 Vanderbilt Park Dr
Asheville, NC 28803

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1619925575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-329-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST STE 320",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024003",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7737 Southwest Fwy",
            "address_2": "Suite 780",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741807",
            "country_code": "US",
            "telephone_number": "713-988-9512",
            "fax_number": "713-988-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Great Northern Loop",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081752",
            "country_code": "US",
            "telephone_number": "406-541-7000",
            "fax_number": "406-327-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGREGOR",
        "first_name": "JON",
        "middle_name": "BRANT",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J7580",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "J7580",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-89184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132066508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411171",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcgregor1349092@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 W Broadway St Ste 320",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcgregor1349092@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2829 Great Northern Loop",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.