Organization Active NPI

Priscilla F. Bade, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
National Provider Identifier
1417329368
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
3651 Issued in SD
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

Updated by the provider on Oct 30, 2015

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 3651 SD
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 3651 SD Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
S109463OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.