NPIMap

Individual provider Active NPI

Brian Edward Reynolds, DO

  • Family Medicine Physician
  • Harlem, MT
National Provider Identifier
1407810963
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6572 Issued in FL
Practice address
669 Agency Main St
Harlem, MT 59526-9455
Phone
(406) 353-3137
Fax
(406) 353-3255
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6572 FL Primary

Addresses

Primary practice location

669 Agency Main St
Harlem, MT 59526-9455

Mailing address

669 Agency Main St
Harlem, MT 59526-9455
Phone (406) 670-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160223001453 TX Practitioner - Family Practice 6406936970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

453 Pine Grove Rd
Hays, MT 59527-7769
Phone (406) 353-3190

Hospital & facility affiliations

  • P H S Indian Hospital-Ft Belknap at Harlem - Cah Hospital, Harlem, MT, CCN 271315
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Phillips County Hospital - Cah Hospital, Malta, MT, CCN 271312
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Sep 23, 2015 Accepting new patients
Anadarko Indian Health Center CurrentSince Jun 21, 2022 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Lawton Indian Hospital CurrentSince Jun 21, 2022 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Sep 23, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Island Coast Pain & Rehabilitation Associates, Inc. Family Medicine Past Accepting new patients
Icp&R Associates, Inc. Family Medicine Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1407810963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 AGENCY MAIN ST",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-670-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 AGENCY MAIN ST",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-3137",
            "fax_number": "406-353-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlem, MT

Sources for this page

Verify at the official NPI Registry.