BRENDON PATRICK SMITH (NPI# 1720490907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490907 |
| Entity Type | Individual |
| Full Name | BRENDON PATRICK SMITH |
| Credential | DO |
| Practice Address |
160 Heritage Way Ste 202 Kalispell MT 59901-3127 |
| Mailing Address |
160 Heritage Way Suite 202 Kalispell MT 59901 |
| Practice Telephone | 4067528433 |
| Practice Fax Number | 4067566768 |
| Mailing Telephone | 4067528433 |
| Mailing Fax Number | 4067566768 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 53218 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MED-RES-LIC 5185 | MT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043659428 | Brendon Michael Smith | Student in an Organized Health Care Education/Training Program | 325 9th Ave, Box 359612, Seattle, WA 98104-2420 | 2013-06-19 |
| Street Address |
160 HERITAGE WAY STE 202 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446773 | John Mark Tollerson | Family Medicine | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2005-09-01 |
| 1720554488 | Julia Marie Tikka | Nurse Practitioner | 160 Heritage Way Ste 202, Kalispell, MT 59901 | 2018-10-22 |
| 1265916589 | Rachael Marie Alsbury | Nurse Practitioner | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2018-09-21 |
| 1093082638 | Kaycee L Mcintosh | Physician Assistant | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2011-11-28 |
| 1760787766 | Jesse A Mumm | Physician Assistant | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2011-01-21 |
| 1275862625 | Jessica Colleen Glover | Nurse Practitioner | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2009-12-14 |
| 1114252327 | Douglas S Marbarger | Physician Assistant | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2009-10-05 |
| 1194984039 | Ivory D Drendel | Family Medicine | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2008-06-05 |
| 1932262052 | Marci Rae Mangold | Physician Assistant | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2006-12-19 |
| 1871694463 | Shelley Naomi | Physician Assistant | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467865253 | Justin Buls | Family Medicine | 1035 1st Ave W., Kalispell, MT 59901 | 2014-06-09 |
| 1689876591 | Julien Marsh | Family Medicine | 112 3rd St E, Kalispell, MT 59901-4575 | 2007-06-03 |
| 1063585594 | Laura Winstead Pratt | Family Medicine | Montana Center, 245 Windward Way, Ste101, Kalispell, MT 59901-3133 | 2006-11-15 |
| 1336257864 | James Anthony Kiley | Family Medicine | 315 Woodland Ave, Kalispell, MT 59901-4605 | 2006-08-25 |
| 1215968656 | R. Dennis Winkel M.d., P.C. | Family Medicine | 1250 Burns Way, Kalispell, MT 59901-3134 | 2006-07-05 |
| 1750310843 | Andrew Edward Palchak | Family Medicine | 210 Sunnyview Lane, Suite 205, Kalispell, MT 59901 | 2006-07-01 |
| 1699702100 | Kathy Jean Bronson | Family Medicine | 20 Four Mile Dr, Suite 2, Kalispell, MT 59901-2632 | 2006-06-28 |
| 1740225333 | R. Dennis Winkel | Family Medicine | 70 Village Loop Rd, Kalispell, MT 59901-2793 | 2006-06-18 |
| 1033177134 | Christopher J Holdhusen | Family Medicine | 1035 1st Ave. West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-05-01 |
| 1467446773 | John Mark Tollerson | Family Medicine | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2005-09-01 |
| Find all providers in KALISPELL | ||||
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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.