Brandon M Harris, CNP
Individual provider Active NPI Orthopaedic Trauma Physician · Sioux Falls, SD
NPI 1003534470 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1003534470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Trauma Physician 207XX0801X
- License
- CP002489 (SD)
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-8000
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
6100 S Louise Ave
Sioux Falls, SD 57108-6029
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Avera Heart Hospital of South Dakota
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221025001512 | SD | Practitioner - Nurse Practitioner | 1153797618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Single Specialty | Current | Accepting new patients |
| Avera McKennan | Single Specialty | Current |
Accepting new patients |
| Avera McKennan | Single Specialty | Past | Accepting new patients |
Locations
911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300
6800 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 322-3278
6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100
6100 S Louise Ave
Ste 1500
Sioux Falls, SD 57108
Phone (605) 504-1100
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
6100 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 504-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician |
207XX0801X | CP002489 | SD | Yes |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
6100 S Louise Ave
Sioux Falls, SD 57108-6029
Phone (605) 504-1100
Other practice location 1
6100 S Louise Ave
Sioux Falls, SD 57108-6029
Phone (605) 504-1100
Other providers in Sioux Falls, SD
- Sean Harms
- Wendy Lynn Harmsen-Hoyt
- Tina Harp
- Madison Harrington
- Melvin Herbert Harrington
- Gabriel T Harris
- Jamicah Harris
- Jessica Lauren Harris
- Natasha Dorinda Harris
- Harrisburg School 41-2
All providers in Sioux Falls, SD · Orthopaedic Trauma Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.