NPI 1720073596 · live from the CMS NPI Registry
Byron David Baldridge, MD
Dermatology in Helena, MT. National Provider Identifier 1720073596, active.
NPI record
| NPI | 1720073596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1 Medical Park Dr # 201b, Helena, MT 59601 |
| Practice phone | 406-443-7200 |
| Mailing address | 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 |
| Enumerated | September 16, 2005 |
| Last updated | February 20, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | 4902 (MT) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 4902 (MT) |
| Dermatology primary | 207N00000X | 4902 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.