Brian Todd Gerry, MS, ATC

Individual provider Active NPI Athletic Trainer · Sioux Falls, SD

NPI 1003969866 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003969866
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
0051 (SD)
Practice address
2001 S Summit Ave
Augustana College
Sioux Falls, SD 57197-0001
Phone
(605) 274-5534
Fax
(605) 274-5298
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0051SDMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0051 SD Yes

Addresses

Primary practice location

2001 S Summit Ave
Augustana College
Sioux Falls, SD 57197-0001

Mailing address

7605 W Loganberry St
Sioux Falls, SD 57106-7773
Phone (605) 362-1404

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Athletic Trainer in South Dakota

Sources for this page

Verify at the official NPI Registry.