Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John R Gannon, MD

Individual provider Urology Physician · NPI 1861634289

John R Gannon, MD is an Urology in Bozeman, Montana. Graduated from Medical College of Wisconsin in 2009, 17 years ago. Practices with Bozeman Health Deaconess Hospital, a 313-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Montana and Washington.

Years since qualifying
17
Trained at
Medical College of Wisconsin
Licensed in
MT, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

931 Highland Blvd Ste 3360
Bozeman, MT 59715-6914
Phone: (406) 414-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 334 Town Center Ave, Big Sky, MT 59716 — (406) 414-5000
  • 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 — (206) 598-6358

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MED-PHYS-LIC-58876 (MT)
Urology Physician Taxonomy 208800000X · Licence 208800000X (WA)

Record details

NPI number1861634289
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2009
Last updated in NPPESApril 10, 2025
Certification dateApril 4, 2025
Mailing address915 Highland Blvd, Bozeman, MT 59715-6902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2009 (17 years in practice)
Group practice Bozeman Health Deaconess Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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