Active NPI
Adult and Adolescent Internal Medicine
- Internal Medicine Physician
- Mitchell, SD
National Provider Identifier
1093760860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ADULT AND ADOLESCENT INTERNAL MEDICINE
- Practice address
- 2200 N Kimball St Ste 300
Mitchell, SD 57301-1199 - Phone
- (605) 995-0857
- Fax
- (605) 995-0864
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee J Brandt
- Title
- Cfo
- Phone
- (605) 335-1952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2200 N Kimball St Ste 300
Mitchell, SD 57301-1199
Mailing address
PO Box 5126
Sioux Falls, SD 57117-5126
Phone (605) 335-1952
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008099 | Other | SD | BCBS |
| DF5256 | Other | SD | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2200 N Kimball St
#300
Mitchell, SD 57301
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mitchell, SD
- NPI 1013962919
-
- Physician Assistant
- Parkston, SD
- NPI 1932190790
-
- Cardiovascular Disease Physician
- Marshfield, WI
- NPI 1386707750
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1891740650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361232000000",
"number": "1093760860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175126",
"telephone_number": "605-335-1952",
"fax_number": "605-373-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N KIMBALL ST STE 300",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011199",
"telephone_number": "605-995-0857",
"fax_number": "605-995-0864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT AND ADOLESCENT INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2013-02-19",
"status": "A",
"authorized_official_last_name": "BRANDT",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "605-335-1952"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0008099",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF5256",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.