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General NPI Number Information
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NPI Number | 1083976385
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Entity Type | Individual
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Provider Name | BENJAMIN JOSHUA BRYDEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 401 RAILROAD ST W
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City | MISSODA
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State | MT
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Zip | 59802
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Country | US
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Telephone | 406-258-4789
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Fax | 719-557-4652
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Provider Business Mailing Address
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Address Line | 401 RAILROAD ST W
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City | MISSODA
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State | MT
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Zip | 59802
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Country | US
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Telephone | 719-557-5855
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Fax | 719-557-4652
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | P8017
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0057154
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 142022
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License Number State | MT
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