Individual provider Active NPI

Brett D Lawlor, MD

  • Physical Medicine & Rehabilitation Physician
  • Rapid City, SD
National Provider Identifier
1063403848
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4193 Issued in SD
Practice address
1136 Jackson Blvd
Rapid City, SD 57702-4335
Phone
(605) 721-7246
Fax
(605) 341-4501
NPI assigned
Nov 2, 2005
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4193 SD Primary
Pain Medicine Physician 208VP0000X 4193 SD

Addresses

Primary practice location

1136 Jackson Blvd
Rapid City, SD 57702-4335

Mailing address

1136 Jackson Blvd
Rapid City, SD 57702-4335
Phone (605) 721-7246

Other identifiers 9

IdentifierTypeStateIssuer
13327600OtherSDWYOMING MEDICAID
31783OtherSDSANDFORD HEALTH PLAN
0006333OtherSDWELLMARK BCBS
2300560OtherSDMEDICA
1063403848MedicaidSD
4193OtherSDDAKOTACARE
31783OtherSDSANFORD HEALTH PLAN
115322600OtherSDWYOMING MEDICAID
41194500700OtherSDNEBRASKA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000022 SD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3274432885

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Neuro Surgical & Spinal Surgery Associates, P.C. PastSince Aug 9, 1999 Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1063403848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024335",
            "telephone_number": "605-721-7246",
            "fax_number": "605-341-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024335",
            "telephone_number": "605-721-7246",
            "fax_number": "605-341-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "BRETT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "4193",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SD",
            "license": "4193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "13327600",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDFORD HEALTH PLAN",
            "identifier": "31783",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "0006333",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2300560",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063403848",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "4193",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "31783",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "115322600",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA MEDICAID",
            "identifier": "41194500700",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.