Bryanna Cordeiro, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

128780 Issued in MT

Practice address

305 N Main St
Ennis, MT 59729-8001

Phone

(406) 682-4223

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Washington School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Valley Hospital IncGroup PAC ID 7719890987, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Helena, MT, CCN 277017
• Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329
• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
• Madison Valley Medical Center Nursing home, CCN 27Z329

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Madison Valley Hospital Inc

  • Critical Access Hospital
  • Ennis, MT
  • NPI 1740223882

  MT

  Medicare reassignment Care Compare group NPD
• Madison Valley Hospital Inc

  • Land Ambulance
  • Ennis, MT
  • NPI 1518546365
  Care Compare group NPD
• Madison Valley Hospital, Inc.

  • Rural Health Clinic/Center
  • Ennis, MT
  • NPI 1518136308
  Care Compare group
• Utah Healthcare Institute Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1376597344

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864

  Hospital

  Care Compare affiliation
• Eh Health Home Health of the Northwest, LLC

  • Home Health Agency
  • Helena, MT
  • NPI 1043803828
  Care Compare affiliation
• Madison Valley Hospital Inc

  • Critical Access Hospital
  • Ennis, MT
  • NPI 1740223882

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164051322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597298001",
            "telephone_number": "406-682-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597298001",
            "telephone_number": "406-682-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEIRO",
        "first_name": "BRYANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "128780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Berdine, LCPC
• Cathy Berendts, PA-C
• Carson Curtis Blake, M.D.
• Dustin Brown, D.O.
• Kelcey Cherwin, DPT
• Michelle Lee Crabtree, D.M.D
• Shelby Angela Crandall, EMT
• Maura Davenport, M.D.
• Lindsay Degroot, LCPC
• Martin G Degroot, PA-C

• All providers in Ennis, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.