Provider Demographics
NPI:1972388981
Name:307 PSYCHIATRY
Entity type:Organization
Organization Name:307 PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-217-8799
Mailing Address - Street 1:2961 CUSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4522
Mailing Address - Country:US
Mailing Address - Phone:307-262-4735
Mailing Address - Fax:
Practice Address - Street 1:1541 DIAMOND DR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-6247
Practice Address - Country:US
Practice Address - Phone:307-217-8799
Practice Address - Fax:888-436-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty