Alexander Brockman Jehle, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

12081 Issued in MT

Practice address

500 W Broadway St
Suite 320
Missoula, MT 59802-4008

Phone

(406) 329-5615

Fax

(406) 329-2791

NPI assigned

Jan 26, 2007

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

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment NPD
• Providence Health & Services Mt

  • Rehabilitation Hospital Unit
  • Missoula, MT
  • NPI 1144319138
  Medicare reassignment NPD
• Providence St Joseph Medical Center

  • Family Medicine Physician
  • Polson, MT
  • NPI 1669655528
  Medicare reassignment NPD
• Credena Health LLC

  • Community/Retail Pharmacy
  • Polson, MT
  • NPI 1164809778
  NPD
• Marcus Daly Memorial Hospital Corp

  • Surgery Physician
  • Hamilton, MT
  • NPI 1023576956
  NPD
• Marcus Daly Memorial Hospital Corporation

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD
• Providence Health & Services Mt

  • Emergency Medical Services (Emergency Medicine) Physician
  • Missoula, MT
  • NPI 1124268966
  NPD
• Providence Health & Services Mt

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1215222617

  Cardiovascular Disease

  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1790831329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "SUITE 320",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-329-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "SUITE 320",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 S Crystal St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597011523",
            "country_code": "US",
            "telephone_number": "406-496-3660",
            "fax_number": "406-496-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEHLE",
        "first_name": "ALEXANDER",
        "middle_name": "BROCKMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajehle132419@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 W BROADWAY ST",
            "address_2": "SUITE 320",
            "city": "MISSOULA",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajehle132419@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "435 S Crystal St Ste 240",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597011523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanette Stangl Inc PC
• Jeanne Hebl CNM PLLC
• Jeanne Hebl CNM, PLLC
• Jec LLC
• Jeffrey J. Karvandi, DMD, PLLC
• Diana Jenkins, APRN
• Heidi Jenkins, CST, CFA
• Scott Richard Jenkins, OTL
• Lynne M Jenko, PT
• Catherine B. Jenni, PH.D.

• Cardiovascular Disease Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Cardiovascular Disease Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.