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DR. BRIAN ROBERT CHISDAK MD, DMD
NPI 1457573727
Oral & Maxillofacial Surgery in Bozeman, MT

Active since May 03, 2007Opted out of Medicare · through Jan 1, 2028
1994 STADIUM DR., BOZEMAN, MT 59715(406) 587-0767(406) 587-2120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Robert Chisdak Md, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN ROBERT CHISDAK MD, DMD (NPI 1457573727) is an individual oral & maxillofacial surgery provider in Bozeman, Montana, licensed in Montana (9512) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457573727
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. BRIAN ROBERT CHISDAKCredential: MD, DMD
Location Address1994 STADIUM DR.Bozeman, MT 59715
Mailing Address1994 Stadium Dr.Bozeman, MT 59715 · (406) 587-0767 · Fax (406) 587-2120
Phone(406) 587-0767
Fax(406) 587-2120
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457573727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MT · 9512
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1994 STADIUM DR., Bozeman, MT 59715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Brian Robert Chisdak Md, Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Chisdak's NPI number?

The NPI number for Brian Chisdak is 1457573727. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Brian Chisdak located?

Brian Chisdak practices at 1994 Stadium Dr., Bozeman, MT 59715. The listed phone number is (406) 587-0767.

What is Brian Chisdak's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Brian Chisdak enrolled in Medicare?

No. Brian Chisdak has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brian Chisdak accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 4 other insurers list Brian Chisdak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Chisdak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.