Byron David Baldridge

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4902 Issued in MT

Legal business name

BYRON DAVID BALDRIDGE

Doing business as

David Baldridge, M.D.

Practice address

2300 12TH Ave S
Suite 101
Great Falls, MT 59405-5017

Phone

(406) 727-1131

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Byron David Baldridge, M.D.NPI 1720073596

Title

Owner

Phone

(406) 727-1131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David Baldridge, M.D. Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6613/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Byron David Baldridge, MD

  • Dermatology Physician
  • Helena, MT
  • NPI 1720073596
  NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114136983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 12TH AVE S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055017",
            "telephone_number": "406-727-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 12TH AVE S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055017",
            "telephone_number": "406-727-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON DAVID BALDRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-727-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "4902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071422",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Baldridge, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Butler
• Ryan Butler, D.O.
• Kristin Bykonen, RDN
• Anita Wright Byrne, PT
• Patrick Byrne
• C & C Physical Therapy and Sports Rehab LLC
• Cacade City-County Health Department
• Lisa Diane Cadwell, M.D.
• Molly Elizabeth Cahill
• Steven Cahill I

• Dermatology Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.