NPIMap

Organization Active NPI

Avera St. Luke's

Doing business as Avera Medical Group Orthopedic Surgery Specialists

  • Orthopaedic Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1124459391
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AVERA ST. LUKE'S
Doing business as
Avera Medical Group Orthopedic Surgery Specialists
Avera Orthopedic Surgery Specialists Aberdeen
Avera Podiatry Aberdeen
Practice address
701 8TH Ave NW Ste a
Aberdeen, SD 57401-1865
Phone
(605) 226-2663
Fax
(605) 226-6795
NPI assigned
Dec 12, 2013
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Daniel J Bjerknes
Title
President/Ceo
Phone
(605) 622-5125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

701 8TH Ave NW Ste a
Aberdeen, SD 57401-1865

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933

Other practice location 1

111 W 10th Ave
Redfield, SD 57469-1519
Phone (605) 226-2663

Other practice location 2

420 S 7th St
Oakes, ND 58474-2024
Phone (605) 226-2663

Other practice location 3

415 9th St
Britton, SD 57430-2274
Phone (605) 226-2663

Other practice location 4

80 N Main St
Waubay, SD 57273-1901
Phone (605) 226-2663

Other practice location 5

1300 Oak St
Faulkton, SD 57438-2149
Phone (605) 226-2663

Other practice location 6

300 S Bruce St
Marshall, MN 56258-1934
Phone (605) 226-2663

Other names 3

  • Avera Medical Group Orthopedic Surgery Specialists Doing business as
  • Avera Orthopedic Surgery Specialists Aberdeen Doing business as
  • Avera Podiatry Aberdeen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040120000912 SD Part B Supplier - Clinic/Group Practice 6406764927 Receives reassigned benefits from 271 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, SD; Waubay, SD; Redfield, SD; Mobridge, SD; Groton, SD; Faulkton, SD; Britton, SD
O20050726000602 ND Part B Supplier - Clinic/Group Practice 6406764927 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ellendale, ND; Oakes, ND
O20140228000555 SD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6406764927 Practice locations: Aberdeen, SD

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 41

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 41

National Provider Directory

National Provider Directory

Locations

701 8th Ave NW
Ste A
Aberdeen, SD 57401

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eureka Community Health ServicesEureka, SD, CCN 431308 Hospital Operational/Managerial Control (25%) Aug 13, 1996
Eureka Community Health ServicesEureka, SD, CCN 43Z308 Hospital Operational/Managerial Control (25%) Aug 13, 1996
Marhsall County Healthcare CenterBritton, SD, CCN 431312 Hospital Operational/Managerial Control Apr 11, 2006
Marshall County Healthcare CenterBritton, SD, CCN 43Z312 Hospital Operational/Managerial Control Apr 11, 2006
Marshall County Healthcare CenterBritton, SD, CCN 433441 Rural health clinic Operational/Managerial Control Apr 22, 2006

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1124459391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-4933",
            "fax_number": "605-504-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW STE A",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011865",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Redfield",
            "state": "SD",
            "postal_code": "574691519",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Oakes",
            "state": "ND",
            "postal_code": "584742024",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 9th St",
            "address_purpose": "LOCATION",
            "city": "Britton",
            "state": "SD",
            "postal_code": "574302274",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 N Main St",
            "address_purpose": "LOCATION",
            "city": "Waubay",
            "state": "SD",
            "postal_code": "572731901",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Oak St",
            "address_purpose": "LOCATION",
            "city": "Faulkton",
            "state": "SD",
            "postal_code": "574382149",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Bruce St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581934",
            "country_code": "US",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERA ST. LUKE'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BJERKNES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-622-5125"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Orthopedic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Orthopedic Surgery Specialists Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Podiatry Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.