Brian Keith Weisgram

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

APRN-259984 Issued in MT

Practice address

1020 34TH Ave NE
Great Falls, MT 59404-1272

Phone

(719) 930-6424

NPI assigned

Jan 31, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

University of Colorado School of Medicine, Aurora, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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.

• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Medicare reassignment Care Compare group NPD
• Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801897780
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Care Compare affiliation

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1992518997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 34TH AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041272",
            "telephone_number": "719-930-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 34TH AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041272",
            "telephone_number": "719-930-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISGRAM",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MT",
            "license": "APRN-259984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lee Watson
• Jeremiah Watt, FNP
• Michael Webster, MD
• Curtis Andrew Weems
• Tera Weigand
• Kathleen Anne Weiskittel, LCPC
• Laura Judtih Weiss, APRN
• Robert Weiss, PA-C
• Jodi L Weisser Violett, MD
• Nicole Leigh Wellman Donester, M.D.

• Gerontology Clinical Nurse Specialist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Gerontology Clinical Nurse Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.