Daniel Edward Braby, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

7068 Issued in MT

Practice address

700 W Kent Ave
Missoula, MT 59801-6772

Phone

(406) 541-3277

Fax

(406) 541-3950

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Big Sky Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Missoula, MT
  • NPI 1639158645
  Authorized official Same address or phone

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1396731949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4907",
            "address_2": "700 WEST KENT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064907",
            "telephone_number": "406-541-3277",
            "fax_number": "406-541-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-541-3277",
            "fax_number": "406-541-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABY",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003605200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94627",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Thomas Boylan, LCPC
• Dana Allison Boylan, LCSW
• Joseph Francis Boyle Jr., LCSW
• Madelyn Wiley Boyle, PA-C
• Beverly L Braak, M.D.
• Braden Partners LP (Pacific Pulmonary Services)
• Kathleen Bradford, LCPC
• Nidhi Jeanne Bradford
• Lee Ann Bradley, RPH, PHARMD, BCPS
• Murrin Brads, COTA/L

• Otolaryngology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Otolaryngology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.