Individual provider Active NPI

Robert Ulrich, MD

  • Family Medicine Physician
  • Laurel, MT
National Provider Identifier
1730120718
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4970 Issued in MT
Practice address
1035 1St Ave
Laurel, MT 59044-2119
Phone
(406) 628-6311
Fax
(406) 628-2830
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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 4970 MT Primary

Addresses

Primary practice location

1035 1St Ave
Laurel, MT 59044-2119

Mailing address

1035 1St Ave
Laurel, MT 59044-2119
Phone (406) 628-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20101227000528 MT Practitioner - Family Practice 7719175330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4970MTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 1, 2015 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jan 1, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1035 1st Ave
Laurel, MT 59044
Phone (406) 628-6311

Interoperability endpoints

  • Direct secure messaging: rulrich33225@direct.intermountainhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1730120718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590442119",
            "telephone_number": "406-628-6311",
            "fax_number": "406-628-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590442119",
            "telephone_number": "406-628-6311",
            "fax_number": "406-628-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MT

Sources for this page

Verify at the official NPI Registry.