NPIMap

Individual provider Active NPI

Brian Bales

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1053169763
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-236621 Issued in MT
Practice address
770 W Reserve Dr Ste 3
Kalispell, MT 59901-2158
Phone
(406) 300-4511
NPI assigned
May 8, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-236621 MT Primary

Addresses

Primary practice location

770 W Reserve Dr Ste 3
Kalispell, MT 59901-2158

Mailing address

505 8TH St W
Columbia Falls, MT 59912-3842
Phone (406) 471-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715000637 MT Practitioner - Nurse Practitioner 0345785309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Hands Midwifery and Family Healthcare PLLCGroup PAC ID 6608116462, 3 clinicians

Practice addresses (Care Compare)

770 W Reserve Dr
Suite 3
Kalispell, MT 59901-2158
Phone (406) 300-4511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-236621MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Hands Midwifery and Family Healthcare PLLC Family CurrentSince Jun 1, 2024 Accepting new patients

Locations

770 W Reserve Dr
Ste 3
Kalispell, MT 59901
Phone (406) 300-4511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1053169763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 8TH ST W",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123842",
            "telephone_number": "406-471-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W RESERVE DR STE 3",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012158",
            "telephone_number": "406-300-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-236621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.