Individual provider Active NPI

Brian J Malloy, MD

  • Urology Physician
  • Great Falls, MT
National Provider Identifier
1902807860
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9561 Issued in MT
Practice address
1401 25TH St S
Great Falls, MT 59405-5183
Phone
(406) 731-8888
Fax
(406) 731-8876
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9561 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) 731-8888

Other identifiers 1

IdentifierTypeStateIssuer
0027480MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmalloy18832@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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000235 MT Practitioner - Urology 2961558812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

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

1422 W Main St
Lewistown, MT 59457-2201
Phone (406) 771-6230

2960 N Washington St
Helena, MT 59602-1210
Phone (406) 455-5000

PO Box
Suite 6010
Great Falls, MT 59406-6010

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9561MTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Clinic LLC Current Accepting new patients
Benefis Hospitals Inc CurrentSince Nov 2, 2011 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

400 13th Ave S
Ste 101
Great Falls, MT 59405
Phone (406) 455-2821

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

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

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

1401 25th St S
Ste 2
Great Falls, MT 59405
Phone (406) 455-3650

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

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

Interoperability endpoints

  • Direct secure messaging: bmalloy18832@benefishs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1902807860",
    "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": "406-731-8888",
            "fax_number": "406-731-8876"
        },
        {
            "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": "406-731-8888",
            "fax_number": "406-731-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "9561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027480",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmalloy18832@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.