JON BRANT MCGREGOR (NPI# 1619925575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619925575 |
| Entity Type | Individual |
| Full Name | JON BRANT MCGREGOR |
| Credential | M. D. |
| Practice Address |
500 W Broadway St Ste 320 Missoula MT 59802-4003 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4063295615 |
| Practice Fax Number | 4063295606 |
| Mailing Telephone | 4063295615 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MED-PHYS-LIC-891 | MT | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
J7580 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
J7580 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00411171 | 01 |
| TX | 132066508 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7737 Southwest Fwy, Suite 780, Houston, TX 770741807 | 7139889512 | 7139889515 |
| Street Address |
500 W BROADWAY ST STE 320 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689983 | Matthew Randall Fleming | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2020-02-03 |
| 1306394226 | Matthew Barton | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2016-09-20 |
| 1861863839 | Michael Allen Kohler | Nurse Practitioner | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2015-10-15 |
| 1841613932 | Karyn Regina Sande | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2014-01-27 |
| 1225460298 | Brandon Jaime Egner | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2013-08-01 |
| 1730521477 | Rachel A Ashbrook | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802 | 2013-07-23 |
| 1588808646 | Nicholas Alan Mantini | Student in an Organized Health Care Education/Training Program | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2009-04-20 |
| 1104021781 | Daniel B Spoon | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2007-06-15 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
| 1609903624 | Stephen M Dodge | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932460763 | Matthew Cortright Weiss | Internal Medicine | 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804-7408 | 2012-06-07 |
| 1477581916 | Philip A. Roper | Internal Medicine | 601 W Spruce St Ste A, Missoula, MT 59802-4047 | 2006-06-30 |
| 1124077334 | Newton Basil Coutinho | Internal Medicine | 2419 Mullan Rd Ste A, Missoula, MT 59808-1856 | 2006-05-08 |
| 1003865171 | George Bandow | Internal Medicine | 2809 Great Northern Loop, Suite 200, Missoula, MT 59808 | 2006-05-08 |
| 1144538505 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802-4031 | 2010-09-20 |
| 1972831220 | St Patrick Hospital and Health Sciences Center | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802-4008 | 2009-11-25 |
| 1316172042 | St. Patrick Hospital Corp | Internal Medicine | 300 W Broadway St, Suite 300, Missoula, MT 59802-4126 | 2009-05-26 |
| 1104021781 | Daniel B Spoon | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2007-06-15 |
| 1346396967 | Michael C Reed | Internal Medicine | 500 West Broadway, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-01-26 |
| 1790831329 | Alexander Brockman Jehle | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802-4008 | 2007-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.