Active NPI
Benefis Healthcare Practitioners
- Urology Physician
- Great Falls, MT
National Provider Identifier
1104845544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BENEFIS HEALTHCARE PRACTITIONERS
- Practice address
- 2800 11TH Ave S
Suite 14
Great Falls, MT 59405-5263 - Phone
- (406) 771-1172
- Fax
- (406) 771-1175
- NPI assigned
- Jul 18, 2006
- Organization subpart
- Yes
- Parent organization
- BENEFIS HEALTHCARE PRACTITIONERS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel J Reiner
- Title
- Chief Administrative Officer
- Phone
- (406) 455-4470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2800 11TH Ave S
Suite 14
Great Falls, MT 59405-5263
Mailing address
2519 13TH Ave S
Great Falls, MT 59405-5178
Phone (406) 455-4470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000092086 | Other | MT | BCBS |
| 1134144231 | Medicaid | MT |
Other names 1
- Plains Urology
National Provider Directory
National Provider Directory- Part of
- Comprehensive Family Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1104845544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 13TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055178",
"telephone_number": "406-455-4470",
"fax_number": "406-268-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 11TH AVE S",
"address_2": "SUITE 14",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055263",
"telephone_number": "406-771-1172",
"fax_number": "406-771-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEFIS HEALTHCARE PRACTITIONERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENEFIS HEALTHCARE PRACTITIONERS, PC",
"enumeration_date": "2006-07-18",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "REINER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "406-455-4470",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000092086",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134144231",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plains Urology",
"code": "3",
"type": "Doing Business As"
}
]
}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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.