DR. KEVIN JOHN BRUEN (NPI# 1427221886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427221886 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOHN BRUEN |
| Credential | M.D. |
| Practice Address |
2900 12th Ave N Suite 400e Billings MT 59101-7506 |
| Practice Telephone | 4062386820 |
| Practice Fax Number | 4062386838 |
| Mailing Telephone | 4062386820 |
| Mailing Fax Number | 4062386838 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 5426453-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
12351 | MT | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
12127 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2900 12TH AVE N SUITE 400E |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696011 | Paul W. Holley | Pathology | 2900 12th Ave N, Ste 295w, Billings, MT 59101-7506 | 2005-06-01 |
| 1720528300 | Amy Lewis | Speech-Language Pathologist | 2900 12th Ave N, Suite 10w, Billings, MT 59101-7506 | 2017-03-02 |
| 1063951747 | Tessa C Gibbins | Occupational Therapist | 2900 12th Ave N, Suite 10w, Billings, MT 59101-7506 | 2017-02-15 |
| 1346787074 | Jennifer Linton | Specialist/Technologist | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7506 | 2017-01-19 |
| 1801332986 | Kristi Elizabeth Monson | Pharmacist | 2900 12th Ave N, Suite 101w, Billings, MT 59101-7506 | 2017-01-12 |
| 1366994691 | Andrew E Taylor | Physician Assistant | 2900 12th Ave N, Suite 503e, Billings, MT 59101-7506 | 2016-11-03 |
| 1770034472 | Tiffany Stensvad | Advanced Practice Midwife | 2900 12th Ave N, Suite 245w, Billings, MT 59101-7506 | 2016-10-18 |
| 1194274548 | Dustin Wondercheck | Physician Assistant | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7506 | 2016-09-27 |
| 1447708227 | Holly Brehm | Physician Assistant | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7506 | 2016-09-21 |
| 1205384690 | Christine Moen | Physician Assistant | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972918639 | Thomas Joseph Desmarais | Surgery | 1233 N 30th St, Billings, MT 59101-0127 | 2014-06-21 |
| 1053599407 | Robert J Hancock | Surgery | 801 N 29th St, Billings, MT 59101-0905 | 2008-02-07 |
| 1821108564 | Arne M Olsen | Surgery | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7506 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119664 | Centers for Advanced Vein Care of Montana Pllc | Surgery | 1417 9th St S Ste 201, Great Falls, MT 59405-4509 | 2009-08-11 |
| 1881830610 | Benefis Medical Group | Surgery | 500 15th Avenue South, Great Falls, MT 59405-4304 | 2008-12-29 |
| 1780685636 | Michael B Orcutt | Surgery | 1400 29th St S Ste 201, Great Falls, MT 59405-5316 | 2005-08-02 |
| 1972811768 | Providence Health & Services Mt | Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2010-09-15 |
| 1023253044 | Marcus Daly Memorial Hospital Corporation | Surgery | 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 | 2008-12-04 |
| 1386829216 | William J Harper Md PC | Surgery | 400 Saddle Dr, Helena, MT 59601-5631 | 2008-01-09 |
| 1366627341 | Thomas F Beeson Md PC | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2008-01-08 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
| 1275696742 | Northwest Montana Surgical Associates | Surgery | 1273 Burns Way, Kalispell, MT 59901-3109 | 2006-12-18 |
| 1043233877 | George C Roth Jr. | Surgery | 2831 Fort Missoula Rd, Suite 206, Missoula, MT 59804-7419 | 2006-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.