Active NPI
Benny Earl Brandvold, MD
- Neurological Surgery Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 11458
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11458 | MT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | 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.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
dba Logan Health Behavioral Health
- Clinic/Center
- Kalispell, MT
- NPI 1285689539
-
- Neurological Surgery Physician
- Eureka, CA
- NPI 1609948603
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.