MEDICARE: DR. RON M BATTLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	7716	MT
2	207Q00000X	Family Medicine Physician	MD60186297	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080161960	OTHER	MT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000008871	OTHER	MT	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922193069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RON M BATTLE M.D.

Provider Business Mailing Address
First Line	:	2592 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:	360-312-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/07/2024

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