Active NPI
Matthew Brandon Coffrin, RD
- Registered Dietitian
- Billings, MT
National Provider Identifier
1508403163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 49651
- Practice address
- 801 N 29TH St
Billings, MT 59101-0905 - Phone
- (406) 238-7347
- NPI assigned
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 49651 | MT | Primary |
Addresses
Primary practice location
801 N 29TH St
Billings, MT 59101-0905
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-5389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49651 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients |
Locations
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2800 10th Ave N
Ste D
Billings, MT 59101
Phone (406) 657-4100
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
Organizations & group practices 4
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.
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- NPI 1326104845
-
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- NPI 1376598714
-
- Physical Therapist
- Billings, MT
- NPI 1740630268
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1508403163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 29TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010905",
"telephone_number": "406-238-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFRIN",
"first_name": "MATTHEW",
"middle_name": "BRANDON",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "49651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.