Active NPI
Priscilla F. Bade, MD
- Geriatric Medicine (Internal Medicine) Physician
- Rapid City, SD
National Provider Identifier
1417329368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 3651
- Legal business name
- PRISCILLA F. BADE, MD
- Practice address
- 1021 Franklin St
Rapid City, SD 57701-4524 - Phone
- (605) 718-4380
- Fax
- (605) 718-4396
- NPI assigned
- Oct 30, 2015
- 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
- Dr. Priscilla F Bade, MD
- Title
- Physician
- Phone
- (605) 718-4380
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3651 | SD | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 3651 | SD | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 3651 | SD |
Addresses
Primary practice location
1021 Franklin St
Rapid City, SD 57701-4524
Mailing address
1021 Franklin St
Rapid City, SD 57701-4524
Phone (605) 718-4380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S109463 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446163200000",
"number": "1417329368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 FRANKLIN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014524",
"telephone_number": "605-718-4380",
"fax_number": "605-718-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 FRANKLIN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014524",
"telephone_number": "605-718-4380",
"fax_number": "605-718-4396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISCILLA F. BADE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-30",
"last_updated": "2015-10-30",
"status": "A",
"authorized_official_last_name": "BADE",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "605-718-4380",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SD",
"license": "3651",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "SD",
"license": "3651",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "SD",
"license": "3651",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "S109463",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.