Provider Demographics
NPI:1801349410
Name:PERDUE, MATT (MD)
Entity type:Individual
Prefix:DR
First Name:MATT
Middle Name:
Last Name:PERDUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N 27TH ST STE 21E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2373
Mailing Address - Country:US
Mailing Address - Phone:406-200-8471
Mailing Address - Fax:833-465-3766
Practice Address - Street 1:27 N 27TH ST STE 21E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2373
Practice Address - Country:US
Practice Address - Phone:406-200-8471
Practice Address - Fax:833-465-3766
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1171792084P0802X
CAA1485982084P0800X
TXS18902084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry