| Bradley D Berry, MD | |
|
500 W Broadway St, Suite 320, Missoula, MT 59802-4003 | |
| (406) 329-5615 | |
| (406) 329-5606 |
| Full Name | Bradley D Berry |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 29 Years |
| Location | 500 W Broadway St, Missoula, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326083023 | NPI | - | NPPES |
| 0049556 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 10148 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Patrick Hospital | Missoula, MT | Hospital |
| Barrett Hospital & Healthcare | Dillon, MT | Hospital |
| Providence St Joseph Medical Center | Polson, MT | Hospital |
| Steele Memorial Medical Center | Salmon, ID | Hospital |
| Clark Fork Valley Hospital | Plains, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Mt | 6608786306 | 293 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley D Berry, MD 500 W Broadway St, Suite 320, Missoula, MT 59802-4003 Ph: (406) 329-5615 | Bradley D Berry, MD 500 W Broadway St, Suite 320, Missoula, MT 59802-4003 Ph: (406) 329-5615 |
Mr. George Bandow, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |