Healthcare Provider Details

I. General information

NPI: 1295709814
Provider Name (Legal Business Name): BILLINGS ANESTHESIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 2ND AVE N STE 240
BILLINGS MT
59101-2033
US

IV. Provider business mailing address

PO BOX 1155
BILLINGS MT
59103-1155
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3290
  • Fax:
Mailing address:
  • Phone: 406-248-3290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY C MCPHERSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 406-248-3290