NPIMap

Individual provider Active NPI

Brett Russell Bennion, MD

  • Otolaryngology Physician
  • Sidney, MT
National Provider Identifier
1275616104
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8624 Issued in MT
Practice address
214 14TH Ave SW
Suite 101
Sidney, MT 59270
Phone
(406) 488-2380
Fax
(406) 488-2382
NPI assigned
Oct 23, 2006
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8624 MT Primary

Addresses

Primary practice location

214 14TH Ave SW
Suite 101
Sidney, MT 59270

Mailing address

214 14TH Ave SW
Suite 101
Sidney, MT 59270
Phone (406) 488-2380

Other identifiers 5

IdentifierTypeStateIssuer
000018941OtherMTBLUE CROSS
0015759MedicaidMT
10976MedicaidND
18595OtherNDBLUE CROSS
040014113OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbennion5015922@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001086 MT Practitioner - Otolaryngology 2961462460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Utah School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, 57 clinicians
Brett R Bennion, MD, PCGroup PAC ID 2365403060, 2 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8624MTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Brett R Bennion, MD, PC CurrentSince Jun 26, 1999 Accepting new patients
Sidney Health Center CurrentSince Mar 26, 2015 Accepting new patients
Sidney Health Center Ophthalmology Past Accepting new patients
Trenton Indian Service Area Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sidney Health Center Past Accepting new patients

Locations

221 5th Ave S
Glasgow, MT 59230
Phone (406) 228-3400

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

214 14th Ave SW
Ste 101
Sidney, MT 59270
Phone (406) 488-2380

214 14th Ave SW
Ste 115
Sidney, MT 59270

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

Interoperability endpoints

  • Direct secure messaging: bbennion5015922@direct.sanfordhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1275616104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "address_2": "SUITE 101",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "59270",
            "telephone_number": "406-488-2380",
            "fax_number": "406-488-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "address_2": "SUITE 101",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "59270",
            "telephone_number": "406-488-2380",
            "fax_number": "406-488-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "BRETT",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "8624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000018941",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015759",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10976",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "18595",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040014113",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbennion5015922@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "214 14th Ave SW",
            "address_2": "Suite 101",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.