Individual provider Active NPI

Earl Harrison Jr., MD

  • Body Imaging Physician
  • Havre, MT
National Provider Identifier
1790778942
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
4750 Issued in MT
Practice address
30 13TH St
Havre, MT 59501-5222
Phone
(406) 265-5827
NPI assigned
Aug 23, 2005
Reactivated
Mar 30, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 4750 MT Primary

Addresses

Primary practice location

30 13TH St
Havre, MT 59501-5222

Mailing address

PO Box 1540
Havre, MT 59501-1540
Phone (406) 265-5827

Other identifiers 2

IdentifierTypeStateIssuer
0071591MedicaidMT
1778-0OtherMTBC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MedicalRecords@direct.nmhcare.org

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
I20110208000859 MT Practitioner - Diagnostic Radiology 0840287405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4750MTMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Jan 2, 2011 Accepting new patients
Northern Montana Hospital CurrentSince Jan 2, 2011 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Radiology Associates Specialist Past Accepting new patients

Locations

30 13th St
Havre, MT 59501
Phone (406) 262-1302

Organizations & group practices 5

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 1

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1790778942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595011540",
            "telephone_number": "406-265-5827",
            "fax_number": "406-265-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 13TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015222",
            "telephone_number": "406-265-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MT",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071591",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "1778-0",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MedicalRecords@direct.nmhcare.org",
            "affiliation": "N",
            "address_1": "30 13th St",
            "city": "Havre",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595015222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.