Organization Active NPI

Benefis Medical Group

  • Hematology & Oncology Physician
  • Great Falls, MT
National Provider Identifier
1043469513
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7270 Issued in MT
Legal business name
BENEFIS MEDICAL GROUP
Practice address
1117 29TH Street South
Great Falls, MT 59405-5306
Phone
(406) 455-8150
NPI assigned
Sep 9, 2008
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jerry W. Speer, MDNPI 1235130105
Title
President
Phone
(406) 455-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 7270 MT Primary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X 10145 MT

Addresses

Primary practice location

1117 29TH Street South
Great Falls, MT 59405-5306

Mailing address

P.O. Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-2900

Other names 1

  • Benefis Physician Associates, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

400 13th Ave S
Ste 101
Great Falls, MT 59405
Phone (406) 455-2821

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1043469513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-455-2900",
            "fax_number": "406-455-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 29TH STREET SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055306",
            "telephone_number": "406-455-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFIS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-455-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MT",
            "license": "7270",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MT",
            "license": "10145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefis Physician Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.