Brandon R Bickford, RN
Individual provider
Active NPI
Registered Nurse · Browning, MT
NPI 1891361952 · NPPES record last updated May 31, 2021
Key facts
- NPI
- 1891361952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- NURRNLIC160874 (MT)
- Practice address
- 504 Popimi St
Browning, MT 59417-5315
- Phone
- (406) 338-7912
- NPI assigned
- May 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|
| NURRNLIC160874 | MT | MD | Registered Nurse |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Registered Nurse |
163W00000X |
NURRNLIC160874 |
MT |
Yes |
Addresses
Primary practice location
504 Popimi St
Browning, MT 59417-5315
Mailing address
PO Box 850
Browning, MT 59417-0850
Phone (406) 338-7912
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| NUR-RN-LIC-160874 | Medicaid | MT | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Other URL |
Browning |
Other |
|