Bertha, Brian G.

Bertha, Brian G. is an individual health care provider with primary practice located at 1101 26Th St S , Great Falls MT 59405-5161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bertha, Brian G. can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1101 26Th St S Great Falls MT 59405-5161
Fax: (406) 731-8138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 6868 Montana

Profile Details

NPI number 1801993860
LBN Legal business name Bertha, Brian G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801993860 NPPES
Montana MEDICAID 68867

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