Donald Hall Berdeaux, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

7270 Issued in MT

Practice address

1117 29TH St S
Great Falls, MT 59405-5306

Phone

(406) 731-8200

Fax

(406) 731-8178

NPI assigned

Aug 2, 2006

Last updated

Mar 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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.

• Donald H Berdeaux MD Facp PC

  • Hematology & Oncology Physician
  • Great Falls, MT
  • NPI 1275541559
  NPD (past) Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801897780
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1114934221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055306",
            "telephone_number": "406-731-8200",
            "fax_number": "406-731-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDEAUX",
        "first_name": "DONALD",
        "middle_name": "HALL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MT",
            "license": "7270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114934221",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000094908",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830006549",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benefis Medical Group
• Benefis Medical Group
• Karl Benish, MS CCC-SLP
• Mark Benjamin, MD
• Shelley Benzing, M.S. CCC/SLP
• Brandi Berg, RPH
• Bradford A Bergman, MD
• Samantha Berman, M.D.
• Brian G. Bertha, MD
• Tarra Laval Betcher, SWLC, MSW

• Hematology & Oncology Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Hematology & Oncology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.