Individual
DAVID P BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1117 29TH ST S # SCI, GREAT FALLS, MT 59405-5306
(406) 731-8888
(406) 731-8318
Mailing address
1117 29TH ST S # SCI, GREAT FALLS, MT 59405-5306
(406) 455-5000
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
348
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301856
BLUE CROSS
MT
05
—
4301856
—
MT
01
—
810511516025
EBMS
MT
01
—
P00077067
RAILROAD MEDICARE
MT
01
—
P00367450
RAILROAD MEDICARE
WY
Enumeration date
11/16/2005
Last updated
04/05/2024
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