Benefis Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

9761 Issued in MT

Legal business name

BENEFIS MEDICAL GROUP

Practice address

500 15TH Avenue South
Great Falls, MT 59405-4304

Phone

(406) 455-2845

Fax

(406) 268-0084

NPI assigned

Dec 29, 2008

Last updated

Nov 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry W. Speer, MD

Title

President

Phone

(406) 455-2920

Specialties & licenses 1

Addresses

Other names 1

• Benefis Physician Associates, Inc. Former legal business name

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1881830610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-455-2900",
            "fax_number": "406-455-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVENUE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054304",
            "telephone_number": "406-455-2845",
            "fax_number": "406-268-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFIS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-455-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MT",
            "license": "9761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefis Physician Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Benefis Hospitals, Inc.
• Benefis Hospitals, Inc.
• Benefis Medical Group
• Benefis Medical Group
• Benefis Medical Group
• Karl Benish, MS CCC-SLP
• Mark Benjamin, MD
• Shelley Benzing, M.S. CCC/SLP
• Donald Hall Berdeaux, MD
• Brandi Berg, RPH

• Vascular Surgery Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Vascular Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.