Individual provider Active NPI

Benny Earl Brandvold, MD

  • Neurological Surgery Physician
  • Great Falls, MT
National Provider Identifier
1760520084
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11458 Issued in MT
Practice address
1401 25TH St S
Great Falls, MT 59405-5183
Phone
(406) 455-5000
Fax
(406) 731-8318
NPI assigned
Feb 1, 2007
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 11458 MT Primary

Addresses

Primary practice location

1401 25TH St S
Great Falls, MT 59405-5183

Mailing address

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbrandvold32483@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000482 MT Practitioner - Neurosurgery 6204937592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Washington School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 25TH St S
Great Falls, MT 59405-5183

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11458MTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Feb 1, 2013 Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Northcoast Neurosurgical Associates a Medical Corporation Neurological Surgery Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1760520084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-455-5000",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-455-5000",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDVOLD",
        "first_name": "BENNY",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MT",
            "license": "11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrandvold32483@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1401 25th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.