DR. GRANT RICHARD GUNDERSON MD
NPI 1356101265
Student in an Organized Health Care Education/Training Program in Billings, MT

Q: What is Grant Gunderson's NPI number?

The NPI number for Grant Gunderson is 1356101265. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Grant Gunderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Grant Gunderson was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2024PECOS Enrolled

2800 10TH AVE N, BILLINGS, MT 59101(406) 238-2210(406) 238-2849 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Grant Richard Gunderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT RICHARD GUNDERSON MD (NPI 1356101265) is an individual student in an organized health care education/training program in Billings, Montana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356101265

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GRANT RICHARD GUNDERSONCredential: MD

Location Address2800 10TH AVE NBillings, MT 59101-0703

Mailing Address23 River Terrace CtMinneapolis, MN 55414-3702 · (701) 205-9493

Phone(406) 238-2210

Fax(406) 238-2849

Sole ProprietorYes

Enumeration DateMarch 19, 2024

Last NPPES UpdateFebruary 17, 2025

NPPES CertifiedFebruary 17, 2025

✔ NPI 1356101265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2800 10TH AVE N, Billings, MT 59101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grant Richard Gunderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA VICTORIA NESOVIC DNP, FNP-BC

Nurse Practitioner (Family)