NPIMap

Individual provider Active NPI

Brittany Azure Bearstail, MD

  • Family Medicine Physician
  • Spearfish, SD
National Provider Identifier
1144604158
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PT15339 Issued in ND
Practice address
1420 N 10TH St
Spearfish, SD 57783
Phone
(701) 854-3831
NPI assigned
Jul 20, 2015
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL13781 ND
Family Medicine Physician 207Q00000X PT15339 ND Primary

Addresses

Primary practice location

1420 N 10TH St
Spearfish, SD 57783

Mailing address

1420 N 10TH St
Spearfish, SD 57783
Phone (701) 751-9500

Other practice location 1

701 E Rosser Ave.
Bismark, ND 58501-4461
Phone (701) 751-9500

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Other names 1

  • Miss Brittany Marie Azure Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002564 SD Practitioner - Family Practice 8022357094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
PT15339NDMDFamily Medicine Physician
RL13781NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Jan 20, 2023 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Jan 20, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc. Past Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients

Locations

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: bazurebearstail.123672@regionalhealth.sdhealthlink.net

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1144604158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N 10TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N 10TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "701-854-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Rosser Ave.",
            "address_purpose": "LOCATION",
            "city": "Bismark",
            "state": "ND",
            "postal_code": "585014461",
            "country_code": "US",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARSTAIL",
        "first_name": "BRITTANY",
        "middle_name": "AZURE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL13781",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "PT15339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "AZURE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.