Eric Brandeberry, M.D.
Individual provider Active NPI Family Medicine Physician · Columbia Falls, MT
NPI 1992747836 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1992747836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10481 (MT)
- Practice address
- 1850 9TH St W
Columbia Falls, MT 59912-4410 - Phone
- (406) 892-3206
- Fax
- (406) 892-2381
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacier Medical Associates
Practice addresses (Care Compare)
1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515
Hospital & facility affiliations
- Logan Health Home Care
- Logan Health Medical Center
- Logan Health - Whitefish
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 43 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040503001618 | MT | Practitioner - Family Practice | 3971591595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10481 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Glacier Regional Pathology, LTD. | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Glacier Medical Associates | Family Medicine | Current |
Accepting new patients |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Family Health Care PC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Glacier Medical Associates | Family Medicine | Past | Accepting new patients |
Locations
1850 9th St W
Columbia Falls, MT 59912
Phone (406) 751-8009
500 12th Ave W
Columbia Falls, MT 59912
Phone (406) 862-2515
500 12th Ave W
Ste 1B
Columbia Fls, MT 59912
715 Nucleus Ave
Columbia Fls, MT 59912
Phone (406) 730-3669
2310 US Highway 2 E
Ste 4
Kalispell, MT 59901
Phone (406) 862-2515
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
1287 Burns Way
Kalispell, MT 59901
Phone (406) 752-8120
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10481 | MT | Yes |
Addresses
Primary practice location
1850 9TH St W
Columbia Falls, MT 59912-4410
Mailing address
1287 Burns Way
Kalispell, MT 59901-3109
Phone (406) 752-8120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992747836 | Other | MT | BCBS |
| 1992747836 | Medicaid | MT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Other providers in Columbia Falls, MT
- Big Mountain SLP Services LLC
- Wayne Eugene Black
- Blankenship Rural Fire District
- Brandi Lee Bohn
- Troy W. Bowman
- Breann Moon, LMT
- Nichole Louise Breding
- Bridges to Recovery Inc.
- Codi L Briscoe
- Heather Brown
All providers in Columbia Falls, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.