Individual
ERIC BRANDEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 9TH ST W, COLUMBIA FALLS, MT 59912-4410
(406) 892-3206
(406) 892-2381
Mailing address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10481
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992747836
BCBS
MT
05
—
1992747836
—
MT
Enumeration date
06/12/2006
Last updated
11/27/2023
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