Individual provider Active NPI

Timothy Dernbach, MD

  • Surgery Physician
  • Billings, MT
National Provider Identifier
1962440800
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4065 Issued in MT
Practice address
2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506
Phone
(406) 238-6820
Fax
(406) 238-6838
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4065 MT Primary

Addresses

Primary practice location

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506

Mailing address

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506
Phone (406) 238-6820

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
I20041214001219 MT Practitioner - Cardiac Surgery 5092780874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Washington School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7514
Phone (406) 237-5770

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4065MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana CurrentSince Mar 18, 2013 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Nov 1, 2014 Accepting new patients
SCL Health Montana CurrentSince Mar 18, 2013 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 1, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
St. Vincent Healthcare Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650

2900 12th Ave N
Ste 305E
Billings, MT 59101
Phone (406) 237-5750

2900 12th Ave N
#301E
Billings, MT 59101
Phone (406) 238-6835

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 305A
Billings, MT 59101
Phone (406) 238-6820

2900 12th Ave N
Ste 315W
Billings, MT 59101
Phone (406) 237-5760

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: tdernbach32978@direct.intermountainhealth.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 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1962440800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 400E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6820",
            "fax_number": "406-238-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 400E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6820",
            "fax_number": "406-238-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNBACH",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.