Basic Information
Provider Information
NPI: 1255430237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REICH
FirstName: BRENT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1155
Address2:  
City: BILLINGS
State: MT
PostalCode: 591031155
CountryCode: US
TelephoneNumber: 4062483290
FaxNumber: 4062483346
Practice Location
Address1: 1233 N 30TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591010127
CountryCode: US
TelephoneNumber: 4062540707
FaxNumber: 4062540709
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 01/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X11250MTY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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