NPIMap

Organization Active NPI

Pipestone County Medical Center Avera

Doing business as Pipestone County Medical Center Surgical Specialties Avera

  • Surgery Physician
  • Pipestone, MN
National Provider Identifier
1285047498
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PIPESTONE COUNTY MEDICAL CENTER AVERA
Doing business as
Pipestone County Medical Center Surgical Specialties Avera
Practice address
920 4TH Ave SW
Suite 200
Pipestone, MN 56164-1455
Phone
(507) 825-5811
NPI assigned
Jun 5, 2014
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Bradley Burris
Title
Hospital Administrator
Phone
(507) 825-5811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

920 4TH Ave SW
Suite 200
Pipestone, MN 56164-1455

Mailing address

920 4TH Ave SW
Suite 200
Pipestone, MN 56164-1455
Phone (507) 825-5811

Other names 1

  • Pipestone County Medical Center Surgical Specialties Avera Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000578 MN Part B Supplier - Clinic/Group Practice 0840109682 Receives reassigned benefits from 79 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edgerton, MN; Pipestone, MN; Slayton, MN

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Pipestone County Medica9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

920 4th Ave SW
Ste 200
Pipestone, MN 56164
Phone (507) 825-5811

Practitioners & affiliated clinicians

Practitioners 4

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1285047498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH AVE SW",
            "address_2": "SUITE 200",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641455",
            "telephone_number": "507-825-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH AVE SW",
            "address_2": "SUITE 200",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641455",
            "telephone_number": "507-825-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPESTONE COUNTY MEDICAL CENTER AVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "507-825-5811"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pipestone County Medical Center Surgical Specialties Avera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pipestone, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.