Blackshear Bryan (NPI# 1013086198, PAC ID# 5294834487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1013086198 |
| PAC ID by PECOS | 5294834487 |
| Professional Enrollment ID | I20070629000106 |
| Full Name | Blackshear Bryan |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Address |
2900 12th Ave N Suite 400e Billings MT 59101-7514 |
| Phone Number | 4062386820 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 9638491574 |
| Number of Group Practice Members | 181 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270049 | ST VINCENT HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2900 12th Ave N, Suite 400e, Billings, MT 59101-7514 | 4062386820 | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Physicians | 171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyanne Wear | Clinical Social Worker | Scl Health Medical Group - Billings LLC | 32 Wicks Ln, Billings, MT 59105-3810 |
| Sophie Lanciers | Pediatric Medicine | Scl Health Medical Group - Billings LLC | 1232 N 30th St, Suite 200, Billings, MT 59101-0139 |
| Caitlin J Wilson | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Rodney S Badger | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7502 |
| Kristen Beck | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 2750 Grand Ave, Billings, MT 59102-2629 |
| Rita Cherni-smith | Internal Medicine | Scl Health Medical Group - Billings LLC | 2223 Mission Way, Billings, MT 59102-0160 |
| Marianna S Holland | Certified Nurse Midwife | Scl Health Medical Group - Billings LLC | 1230 N 30th St, Billings, MT 59101-0128 |
| Kyle W Debenham | Emergency Medicine | Scl Health Medical Group - Billings LLC | 2019 Broadwater Ave, Billings, MT 59102-4810 |
| Matthew T Furber | Physician Assistant | Scl Health Medical Group - Billings LLC | 1035 1st Ave, Laurel, MT 59044-2119 |
| Shannon M Wagenman | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Street Address |
2900 12TH AVE N SUITE 400E |
| City | BILLINGS |
| State | MT |
| Zip | 59101-7514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney S Badger | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7502 |
| Frederick E Dixon | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7502 |
| Tish A Parker | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 310w, Billings, MT 59101-7588 |
| David W Shenton Jr. | Orthopedic Surgery | Ortho Montana, Psc | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7507 |
| Tad A Stichman | Physician Assistant | Ortho Montana, Psc | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7507 |
| Randall N Glaser | Physician Assistant | Ortho Montana, Psc | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7507 |
| Travis Laird | Physical Therapy | Ortho Montana, Psc | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7507 |
| Stephen E Baum | Internal Medicine | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7514 |
| Tullio Emanuele | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7502 |
| James E Swanton | Physical Therapy | Ortho Montana, Psc | 2900 12th Ave N, Suite 140w, Billings, MT 59101-7507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Apostol | Cardiovascular Disease (cardiology) | Cardiovascular Consultants of Montana, Pllc | 1101 N 27th St, Suite F, Billings, MT 59101-0100 |
| Douglas E Rehder | Qualified Audiologist | Rehder Hearing Clinic Inc | 1101 N 27th St, Suite E, Billings, MT 59101-0100 |
| Tracy R Hayden | Qualified Audiologist | Rehder Hearing Clinic Inc | 1101 N 27th St, Suite E, Billings, MT 59101-0100 |
| Mary E Tucker | Physician Assistant | Cardiovascular Consultants of Montana, Pllc | 1101 N 27th St, Suite F, Billings, MT 59101-0100 |
| Ronald B Henckel | Cardiovascular Disease (cardiology) | Cardiovascular Consultants of Montana, Pllc | 1101 N 27th St, Suite F, Billings, MT 59101-0100 |
| Crystal B Dvorak | Qualified Audiologist | Rehder Hearing Clinic Inc | 1101 N 27th St, Suite E, Billings, MT 59101-0100 |
| Kevin K Davis | Physician Assistant | Cardiovascular Consultants of Montana, Pllc | 1101 N 27th St, Suite F, Billings, MT 59101-0100 |
| Maggie J Luers | Qualified Audiologist | Rehder Hearing Clinic Inc | 1101 N 27th St, Suite E, Billings, MT 59101-0100 |
| Laura B Winkler | Physical Therapy | Yellowstone Health and Rehab | 1231 N 27th St, Suite 1, Billings, MT 59101-0105 |
| Cameron M Mcmillan | Physical Therapy | Yellowstone Health and Rehab | 1231 N 27th St, Suite 1, Billings, MT 59101-0105 |
| Find all physicians in zip 59101 | |||
| City | BILLINGS |
| Zip Code | 59101 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | BILLINGS + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Blackshear Bryan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.