Individual provider Active NPI

Brentley Allen Buchele, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Kalispell, MT
National Provider Identifier
1922052976
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
11056 Issued in MT
Practice address
60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663
Phone
(406) 756-2241
Fax
(406) 758-7062
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 11056 MT Primary

Addresses

Primary practice location

60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663

Mailing address

60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663
Phone (406) 756-2241

Other identifiers 2

IdentifierTypeStateIssuer
000093226OtherMTMT ID
0152779MedicaidMT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org HealthCenter Northwest, L.L.C.
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Med Center 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
I20060601000175 MT Practitioner - Plastic and Reconstructive Surgery 9234037425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Kentucky College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

210 Sunnyview LN
Kalispell, MT 59901-3128

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

350 Heritage Way
Kalispell, MT 59901-3167

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11056MTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Sep 1, 2009 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Sep 1, 2009 Accepting new patients
Osu Surgery, LLC Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients

Locations

60 Four Mile Dr
Ste 10
Kalispell, MT 59901
Phone (406) 756-1142

210 Sunnyview Ln
Ste 105
Kalispell, MT 59901
Phone (406) 752-7927

202 Conway Dr
Ste 100
Kalispell, MT 59901
Phone (406) 751-5666

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

40 Four Mile Dr
Ste 5
Kalispell, MT 59901
Phone (406) 756-2241

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

245 Windward Way
Ste 101
Kalispell, MT 59901
Phone (406) 756-8488

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 6

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 8

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922052976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 10",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-756-2241",
            "fax_number": "406-758-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 10",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-756-2241",
            "fax_number": "406-758-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHELE",
        "first_name": "BRENTLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MT",
            "license": "11056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT ID",
            "identifier": "000093226",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152779",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "HealthCenter Northwest, L.L.C.",
            "address_1": "60 Four Mile Dr Ste 10",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599012663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Med Center Inc",
            "address_1": "210 Sunnyview Ln Ste 105",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.