Kirk E. Weber, M.D.

Individual provider Active NPI Emergency Medicine Physician · Big Sky, MT

NPI 1891894432 · NPPES record last updated Jul 29, 2021

Key facts

NPI
1891894432
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
42392 (MT)
Practice address
334 Town Center Ave
Big Sky, MT 59716-1713
Phone
(406) 995-6995
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42392MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midpacific Hospitalists LLC Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine Past
since Nov 1, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42392 MT Yes

Addresses

Primary practice location

334 Town Center Ave
Big Sky, MT 59716-1713

Mailing address

915 Highland Blvd
Attn PFS Credentialing
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other identifiers

IdentifierTypeStateIssuer
1891894432MedicaidMT

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kweber7401683@direct.sanfordhealth.org Direct

Other providers in Big Sky, MT

All providers in Big Sky, MT · Emergency Medicine Physician in Montana

Sources for this page

Verify at the official NPI Registry.