Trey Banbury, M.D.
Individual provider Active NPI Anesthesiology Physician · Missoula, MT
NPI 1376980862 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1376980862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MED-PHYS-LIC-52576 (MT)
- Practice address
- 2825 Stockyard Rd Ste I-200
Missoula, MT 59808-1548 - Phone
- (406) 728-8420
- Fax
- (406) 541-8430
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Pennsylvania State University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missoula Anesthesiology PC
Practice addresses (Care Compare)
500 W Broadway
St Patrick Hospital
Missoula, MT 59802-4008
Phone (406) 543-7271
Hospital & facility affiliations
- St. Patrick Hospital
- Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622002126 | MT | Practitioner - Anesthesiology | 1355650656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Anesthesiology, P.C. | Single Specialty | Current |
Accepting new patients |
| Ma Critical Care Services, PC | Single Specialty | Past | Accepting new patients |
Locations
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2360 Mullan Rd
Missoula, MT 59808
Phone (406) 541-4263
2825 Stockyard Rd
Ste I-200
Missoula, MT 59808
Phone (406) 728-4100
902 N Orange St
Missoula, MT 59802
Phone (406) 327-3300
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician |
207L00000X | MED-PHYS-LIC-52576 | MT | Yes |
Addresses
Primary practice location
2825 Stockyard Rd Ste I-200
Missoula, MT 59808-1548
Mailing address
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 444-2200
Other providers in Missoula, MT
- Tim Scott Ballard
- Julie Ballew
- Bernard J Balleweg
- Jean D Ballou
- Katie M Ballweber
- George Bandow
- Edwin Bangen
- Joey Michele Banks
- Lisandra Josephine Hannah Banks
- Puneet Victor Bansal
All providers in Missoula, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.