NPIMap

Individual provider Active NPI

Brian Rick, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1669494050
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
274 Issued in MT
Practice address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone
(406) 728-4100
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 274 MT Primary

Addresses

Primary practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Mailing address

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

Other practice location 1

805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-3211

Other practice location 2

106 Ridgewater Dr Ste A
Polson, MT 59860-8977
Phone (406) 883-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20051221000850 MT Practitioner - Physician Assistant 2567484231 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1273 Burns Way
Kalispell, MT 59901-3109
Phone (406) 752-8300

160 Heritage Way
Kalispell, MT 59901-3127

350 Heritage Way
Kalispell, MT 59901-3167

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
274MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Community Health Services, Inc CurrentSince Feb 1, 2019 Accepting new patients
Logan Health - Conrad CurrentSince May 8, 2011 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Jan 25, 2021 Accepting new patients
Logan Health - Conrad CurrentSince May 8, 2011 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Logan Health - Conrad CurrentSince May 8, 2011 Accepting new patients
Plains Hospital Corporation CurrentSince Jan 1, 2013 Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Plains Hospital Corporation CurrentSince Jan 1, 2013 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jan 25, 2021 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients

Locations

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

1280 Burns Way
Kalispell, MT 59901
Phone (406) 752-2010

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200

1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: brick578321@wm.providencedirect.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1669494050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594251717",
            "country_code": "US",
            "telephone_number": "406-271-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Ridgewater Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598608977",
            "country_code": "US",
            "telephone_number": "406-883-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICK",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "106 Ridgewater Dr Ste A",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598608977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.