Brian Sherlock Chan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Billings, MT

NPI 1649068156 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1649068156
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
801 N 29TH St
Billings, MT 59101-0905
Phone
(818) 568-8628
NPI assigned
Apr 26, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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 IDStateProvider typePAC IDDetails
I20250610003691 MT Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
3779093562

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

801 N 29TH St
Billings, MT 59101-0905

Mailing address

801 N 29TH St
Billings, MT 59101-0905

Other providers in Billings, MT

All providers in Billings, MT · Student in an Organized Health Care Education/Training Program in Montana

Sources for this page

Verify at the official NPI Registry.