BENNY EARL BRANDVOLD (NPI# 1760520084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760520084 |
| Entity Type | Individual |
| Full Name | BENNY EARL BRANDVOLD |
| Credential | MD |
| Practice Address |
1401 25th St S Great Falls MT 59405-5183 |
| Mailing Address |
1400 29th Street South Great Falls MT 59405 |
| Practice Telephone | 4067318888 |
| Practice Fax Number | 4067713021 |
| Mailing Telephone | 4064542171 |
| Mailing Fax Number | 4067713021 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | G82278 | CA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 11458 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BB4722939 | 01 |
| Street Address |
1401 25TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| 1104459718 | Katie Grace Smyth | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2020-02-21 |
| 1962973776 | Blanche Stutz | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-12-06 |
| 1457828337 | Zale Kaupish | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-10-29 |
| 1245722735 | Jordan Elizabeth Hronek | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-05-31 |
| 1164932000 | Alyissa H Canady | Pharmacist | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-10-05 |
| 1417466327 | Margaret Janelle Davenport | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-22 |
| 1588183321 | Andrew Koopman | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-13 |
| 1306364724 | Noelle Marie-lynn Steiner | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-06 |
| 1982121760 | Melanie Marie Brown | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689915456 | John G Vangilder Pllc | Neurological Surgery | 401 15th Ave S Ste 101, Great Falls, MT 59405-4372 | 2013-03-04 |
| 1598834228 | Paul L Gorsuch Jr. | Neurological Surgery | 401 15th Ave S, #101, Great Falls, MT 59405 | 2006-11-07 |
| 1609951631 | Dale Michael Schaefer | Neurological Surgery | 1300 28th St S, Suite 7, Great Falls, MT 59405-5296 | 2006-10-26 |
| 1437233269 | John G Van Gilder | Neurological Surgery | 401 15th Ave S, 101, Great Falls, MT 59405 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126192 | Yves J Meyer Md PC | Neurological Surgery | 2900 - 12th Ave N Suite 202e, Billings, MT 59101-7500 | 2012-09-12 |
| 1295006070 | Kalispell Regional Medical Center Inc | Neurological Surgery | 200 Commons Way Ste B&c, Kalispell, MT 59901-1915 | 2012-01-25 |
| 1871897736 | Maurice Camp Smith | Neurological Surgery | 32 Cemetery Rd, Park City, MT 59063-9429 | 2011-01-06 |
| 1487975462 | Anthony Eric Russell | Neurological Surgery | 507 Pattee Canyon Dr, Missoula, MT 59803-1620 | 2010-06-14 |
| 1659520252 | Northern Rockies Neuro-spine, PC | Neurological Surgery | 3611 Tommy Armour Circle, Billings, MT 59106 | 2008-09-18 |
| 1740396621 | William J. Spire | Neurological Surgery | 1041 N. 29th St., St Vincent Regional Neuroscience Center, Billings, MT 59101 | 2006-08-22 |
| 1447275854 | Richard A. A. Day | Neurological Surgery | 1190 Westwood Dr, Hamilton, MT 59840-2343 | 2006-07-13 |
| 1598745523 | Emily Boye Ridgway | Neurological Surgery | 1188 N 15th Ave Ste 1, Bozeman, MT 59715 | 2006-01-17 |
| 1841277720 | Thomas Origitano | Neurological Surgery | 200 Commons Way Ste B, Kalispell, MT 59901-1915 | 2005-12-30 |
| 1164413225 | John Schneider Jr Md PC | Neurological Surgery | 2877 Overland Ave, Billings, MT 59102-7469 | 2005-10-28 |
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| City | GREAT FALLS |
| Zip Code | 59405 |
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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.