Brian Montgomery, MD | |
620 Medical Dr Ste 150, Bountiful, UT 84010-5085 | |
(801) 298-3247 | |
Not Available |
Full Name | Brian Montgomery |
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Gender | Male |
Speciality | Urology |
Experience | 11 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 |
---|---|---|
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Carson Valley Medical Center | Gardnerville, NV | Hospital |
Banner Churchill Community Hospital | Fallon, NV | Hospital |
Renown Regional Medical Center | Reno, NV | Hospital |
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carson Tahoe Physician Clinics | 1153479027 | 97 |
Entity Name | Carson Urologists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346370574 PECOS PAC ID: 1759277957 Enrollment ID: O20040225000191 |
Entity Name | Carson Tahoe Physician Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023265717 PECOS PAC ID: 1153479027 Enrollment ID: O20090502000046 |
Mailing Address | Practice Location Address |
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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: 620 Medical Dr Ste 150, Bountiful, UT 84010 Phone: 801-298-3247 Fax: 801-298-9675 | |
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 |