Individual provider Active NPI

Brent S Harberts, OD

  • Optometrist
  • Bozeman, MT
National Provider Identifier
1386808301
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1942 Issued in MT
Practice address
1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone
(406) 585-8153
Fax
(406) 586-3734
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003528A IN
Optometrist 152W00000X 1942 MT Primary

Addresses

Primary practice location

1500 N 7TH Ave
Bozeman, MT 59715-2557

Mailing address

1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone (406) 585-8153

Other identifiers 1

IdentifierTypeStateIssuer
200907450MedicaidIN

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821001428 MT Practitioner - Optometry 3274607429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 N 7TH Ave
Bozeman, MT 59715-2523
Phone (406) 585-8153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003528AINMDOptometrist
1942MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harberts Optometry, LLC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, PC Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

1500 N 7th Ave
Bozeman, MT 59715
Phone (406) 585-8753

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1386808301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153",
            "fax_number": "406-586-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153",
            "fax_number": "406-586-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERTS",
        "first_name": "BRENT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003528A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200907450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.