Byron David Baldridge, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4902 Issued in MT

Practice address

1 Medical Park Dr # 201B
Helena, MT 59601-8022

Phone

(406) 443-7200

Fax

(406) 443-7201

NPI assigned

Sep 16, 2005

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

79.95

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: byron.baldridge@epiphanyderm.emadirect.md
• Direct secure messaging: david.baldridge.1@6613.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/6613/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Elizabeth Barker, APRN, FNP-C

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1750816237
  Medicare reassignment

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.

• Byron David Baldridge

  dba David Baldridge, M.D.

  • Dermatology Physician
  • Great Falls, MT
  • NPI 1114136983
  NPD Authorized official
• Epiphany Dermatology of Montana, PLLC

  • Dermatology Physician
  • Butte, MT
  • NPI 1902455074
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1720073596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222",
            "address_2": "BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465",
            "fax_number": "512-628-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR # 201B",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018022",
            "telephone_number": "406-443-7200",
            "fax_number": "406-443-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 12th Ave S",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055017",
            "country_code": "US",
            "telephone_number": "406-727-1131",
            "fax_number": "406-727-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDRIDGE",
        "first_name": "BYRON",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MT",
            "license": "4902",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MT",
            "license": "4902",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "4902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Backcountry Health
• Jessica Ann Elliott Bailey, M.D.
• Stacy Baird, LMT
• Balanced Body Wellness, LLC
• Balanced Chiropractic, PC
• Britt Rae Ballinger, NP
• Timothy C Ballweber, DDS,MS
• Charla Banks, MOT,OTR/L
• Sarah Bankston, CCC-SLP
• August Barany, RPH

• Dermatology Physician in Helena, MT
• Providers in Helena, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.