Individual provider Active NPI

David P Chamberlain, M.D.

  • Internal Medicine Physician
  • Butte, MT
National Provider Identifier
1861423071
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9601 Issued in MT
Practice address
300 W Mercury St
Butte, MT 59701-1652
Phone
(406) 723-1300
Fax
(406) 723-1360
NPI assigned
Jul 5, 2006
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9601 MT Primary

Addresses

Primary practice location

300 W Mercury St
Butte, MT 59701-1652

Mailing address

300 W Mercury St
Butte, MT 59701-1652
Phone (406) 723-1300

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
I20060103000831 MT Practitioner - Internal Medicine 0345262457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercury Street Medical Group PLLCGroup PAC ID 0345146411, 6 clinicians

Practice addresses (Care Compare)

300 W Mercury St
Butte, MT 59701-1652
Phone (406) 723-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercury Street Medical Group PLLC CurrentSince May 1, 2006 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 12, 2011 Accepting new patients
Big Sky Diagnostic Imaging, LLC CurrentSince Nov 28, 2005 Accepting new patients
Mercury Street Medical Group PLLC CurrentSince May 1, 2010 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 12, 2011 Accepting new patients

Locations

300 W Mercury St
Butte, MT 59701
Phone (406) 723-1300

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

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 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1861423071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "9601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.