| Brian Montgomery, MD | |
|
620 Medical Dr Ste 150, Bountiful, UT 84010-5085 | |
| (801) 298-3247 | |
| Not Available |
| Full Name | Brian Montgomery |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 12 Years |
| Location | 620 Medical Dr Ste 150, Bountiful, Utah |
| 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 |
|---|---|---|---|
| 1356788301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 14007982-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Hospital | Bountiful, UT | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Urology And General Surgery Llc | 8325198690 | 2 |
| Entity Name | Lakeview Urology & General Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518109032 PECOS PAC ID: 8325198690 Enrollment ID: O20090608000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Montgomery, MD Po Box 405831, Atlanta, GA 30384-5800 Ph: () - | Brian Montgomery, MD 620 Medical Dr Ste 150, Bountiful, UT 84010-5085 Ph: (801) 298-3247 |
David J Henderson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 440 Medical Dr Ste 3, Bountiful, UT 84010 Phone: 385-722-9566 Fax: 385-722-9567 | |
Mr. Perry T Walters, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr, Suite 112, Bountiful, UT 84010 Phone: 801-292-7249 Fax: 801-292-7251 | |
Justin Paul Parkinson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010 Phone: 801-965-3600 |