Active NPI
Brian Robert Ludwig, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Billings, MT
National Provider Identifier
1083876478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4079DENTAL
- Practice address
- 625 Henry Chapple
Billings, MT 59106 - Phone
- (406) 259-7438
- Fax
- (406) 259-9729
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4079DENTAL | MT | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN-DEN-LIC-4079 | MT |
Addresses
Primary practice location
625 Henry Chapple
Billings, MT 59106
Mailing address
625 Henry Chapple St
Billings, MT 59106
Phone (406) 259-7438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42314 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 10, 2024 through Dec 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4079DENTAL | MT | MD | Oral and Maxillofacial Surgery (Dentist) |
| DEN-DEN-LIC-4079 | MT | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1083876478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HENRY CHAPPLE ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59106",
"telephone_number": "406-259-7438",
"fax_number": "406-259-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 HENRY CHAPPLE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59106",
"telephone_number": "406-259-7438",
"fax_number": "406-259-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "BRIAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MT",
"license": "4079DENTAL",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MT",
"license": "DEN-DEN-LIC-4079",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42314",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.