Philip Glenn Tallman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

8066 Issued in MT

Practice address

2294 Grant Rd
Billings, MT 59102-7423

Phone

(406) 294-9515

Fax

(406) 294-9520

NPI assigned

May 24, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1760485619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 GRANT RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027423",
            "telephone_number": "406-294-9515",
            "fax_number": "406-294-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 GRANT RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027423",
            "telephone_number": "406-294-9515",
            "fax_number": "406-294-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "PHILIP",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-02-15",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MT",
            "license": "8066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041922",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118099 00 1180",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Szabo, MD
• T J Miller, MD, PC
• T.J. Miller, MD, PC
• April Taber, PT
• Nicole Tackett
• Faith Ann Tallwhiteman, BBH-LAC-LIC-30311
• Lacy Renee Tangedahl, FNP
• Tyler R Tangedahl
• Brittney Tangen
• Darus Tanner, RN

• Specialist in Billings, MT
• Providers in Billings, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.