Individual provider Active NPI

Brett Barry Bender, D.O.

  • Dermatology Physician
  • Bozeman, MT
National Provider Identifier
1285752998
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101016359 Issued in MI
Practice address
1905 W College St
Bozeman, MT 59718-4061
Phone
(406) 587-4432
Fax
(406) 587-7015
NPI assigned
Mar 27, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MED-PHYS-LIC-167368 MT
Dermatology Physician 207N00000X 5101016359 MI Primary

Addresses

Primary practice location

1905 W College St
Bozeman, MT 59718-4061

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

422 S Main St Ste 101
Livingston, MT 59047-3400
Phone (406) 587-4432

Other practice location 2

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 587-4432

Other identifiers 2

IdentifierTypeStateIssuer
0756319375OtherMIBLUE CARE NETWORK
0756319375OtherMIBLUE CROSS BLUE SHIELD

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Brett.Bender@forefrontdermatology.emadirect.md
Direct Messaging Address Brett.Bender@forefrontdermatology.emadirect.md
Direct Messaging Address Brett.Bender@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080401000727 MI Practitioner - DermatologyPractitioner - Family Practice 2668559691 Reassigns benefits to 1 organization
I20260414002596 MT Practitioner - Dermatology 2668559691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Midwest Center for Dermatology and Pathology PLLCGroup PAC ID 0446330492, 49 clinicians

Practice addresses (Care Compare)

1905 W College St
Bozeman, MT 59718-4061
Phone (406) 587-4432

43900 Garfield Rd
Clinton Township, MI 48038-1137
Phone (586) 286-0112

5701 Bow Pointe Dr
Suite 215
Clarkston, MI 48346-5400
Phone (248) 236-5040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.46 of 100Reported as group
Quality
91.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions539
Removal or shaving of skin growth1-10
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-167368MTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Dermatology & Pathology, PLLC CurrentSince Dec 18, 2020 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 215
Clarkston, MI 48346
Phone (248) 236-5040

43900 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 286-0112

Interoperability endpoints

  • Direct secure messaging: bbender@mwcd.emadirect.md

Organizations & group practices 3

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1285752998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W COLLEGE ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184061",
            "telephone_number": "406-587-4432",
            "fax_number": "406-587-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590473400",
            "country_code": "US",
            "telephone_number": "406-587-4432",
            "fax_number": "406-587-7015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-587-4432",
            "fax_number": "406-587-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BRETT",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "MED-PHYS-LIC-167368",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101016359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0756319375",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0756319375",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brett.Bender@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "422 S Main St Ste 101",
            "city": "Livingston",
            "state": "MT",
            "country_code": "US",
            "postal_code": "590473400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brett.Bender@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1905 W College St",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597184061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brett.Bender@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "320 Alpenglow Ln",
            "city": "Livingston",
            "state": "MT",
            "country_code": "US",
            "postal_code": "590478506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.