Brian Arthur Molloy, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

606769 Issued in TX

Practice address

10110 South 7650 East
Crow Agency, MT 59022-0009

Phone

(406) 638-3500

Fax

(406) 638-3535

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1760452791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 POLY DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591021625",
            "telephone_number": "406-855-7000",
            "fax_number": "406-638-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SOUTH 7650 EAST",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3500",
            "fax_number": "406-638-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Zeamer Ave",
            "address_purpose": "LOCATION",
            "city": "Elmendorf AFB",
            "state": "AK",
            "postal_code": "995063702",
            "country_code": "US",
            "telephone_number": "907-580-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "BRIAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "606769",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "606769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gail Maier, M.D.
• Casey Marlin, PHARMD
• Emily Mathiak, OD
• Messengers for Health
• Amy Lee Minnick, PHARMD
• Sandra Kay Montgomery, SANDRA MONTGOMERY
• Deidra E Mountain Sheep, RN
• Geraldine Bernice Mournian, M.D.
• Nathan A Moyer, RN
• Carey Gavin Nazworth

• Certified Registered Nurse Anesthetist in Crow Agency, MT
• Providers in Crow Agency, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.