Individual provider Active NPI

David R Engbrecht, MD

  • Family Medicine Physician
  • Great Falls, MT
National Provider Identifier
1083615959
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5397 Issued in MT
Practice address
1600 Division Rd
Great Falls, MT 59404-1921
Phone
(406) 268-1600
Fax
(406) 771-3549
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5397 MT Primary

Addresses

Primary practice location

1600 Division Rd
Great Falls, MT 59404-1921

Mailing address

1400 29TH St S
Great Falls, MT 59405-5353
Phone (406) 454-2171

Other identifiers 1

IdentifierTypeStateIssuer
0082316MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000460 MT Practitioner - Family Practice 5799827416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians

Practice addresses (Care Compare)

1600 Division Rd
Great Falls, MT 59404-1921
Phone (406) 268-1600

Hospital & facility affiliations

  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5397MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Clinic LLC CurrentSince Aug 17, 1989 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1600 Division Rd
Great Falls, MT 59404
Phone (406) 268-1600

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

Interoperability endpoints

  • Direct secure messaging: david.engbrecht.1@25095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1083615959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055353",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISION RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041921",
            "telephone_number": "406-268-1600",
            "fax_number": "406-771-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGBRECHT",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "5397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082316",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.