Organization
BRETT R BENNION, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT BENNION MD (OWNER)
(406) 488-2380
Entity
Organization
Contact information
Practice address
214 14TH AVE SW STE 101, SIDNEY, MT 59270-3521
(406) 488-2380
(406) 488-2382
Mailing address
214 14TH AVE SW STE 101, SIDNEY, MT 59270-3521
(406) 488-2380
(406) 488-2382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8624
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018941
BLUE CROSS
MT
01
—
000084277
MEDICARE GROUP #
—
05
—
0015759
—
MT
05
—
10976
—
ND
01
—
18595
BLUE CROSS
ND
01
—
N711308
MEDICARE LEGACY
—
Enumeration date
03/01/2007
Last updated
11/13/2020
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