Active NPI
Elizabeth J. Brandenburg, M.D.
- Internal Medicine Physician
- Whitefish, MT
National Provider Identifier
1235102872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G053595
- Practice address
- 1600 Hospital Way
Whitefish, MT 59937 - Phone
- (406) 863-3500
- NPI assigned
- Feb 13, 2006
- Last updated
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G053595 | CA | Primary |
Addresses
Primary practice location
1600 Hospital Way
Whitefish, MT 59937
Mailing address
6008 St Moritz Dr
Unit K
Whitefish, MT 59937-5287
Phone (406) 407-0009
Other practice location 1
900 Greenley Rd
Suite 922
Sonora, CA 95370-5287
Phone (209) 536-3738 ext. 3747
Other practice location 2
1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53595 | CA | MD | Pharmacist |
| G053595 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Whitefish | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Logan Health Rural Health Clinic- Eureka
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1235102872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6008 ST MORITZ DR",
"address_2": "UNIT K",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599375287",
"telephone_number": "406-407-0009",
"fax_number": "209-536-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HOSPITAL WAY",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "59937",
"telephone_number": "406-863-3500"
}
],
"practiceLocations": [
{
"address_1": "900 Greenley Rd",
"address_2": "Suite 922",
"address_purpose": "LOCATION",
"city": "Sonora",
"state": "CA",
"postal_code": "953705287",
"country_code": "US",
"telephone_number": "209-536-3738 x3747",
"fax_number": "209-536-3565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Hospital Way",
"address_purpose": "LOCATION",
"city": "Whitefish",
"state": "MT",
"postal_code": "59937",
"country_code": "US",
"telephone_number": "406-863-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "ELIZABETH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G053595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.