NPIMap

Individual provider Active NPI

Brandyn Ashley Tarap, MD

  • Family Medicine Physician
  • Custer, SD
National Provider Identifier
1619316585
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10064 Issued in SD
Practice address
1369 Montgomery St
Custer, SD 57730-8246
Phone
(605) 673-3900
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10064 SD Primary

Addresses

Primary practice location

1369 Montgomery St
Custer, SD 57730-8246

Mailing address

1369 Montgomery St
Custer, SD 57730-8246
Phone (605) 673-3900

Other names 1

  • Dr. Brandyn Ashley Jinks 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
I20161019001100 SD Practitioner - Family Practice 2264720598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Hills Family Medicine Prof LLCGroup PAC ID 8224427968, 2 clinicians

Practice addresses (Care Compare)

1369 Montgomery St
Custer, SD 57730-8246
Phone (605) 673-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions53
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Southern Hills Family Medicine, Prof LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients

Locations

1369 Montgomery St
Custer, SD 57730
Phone (605) 673-3900

1041 Montgomery St
Custer, SD 57730
Phone (605) 662-7250

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHFCD/Endpoint/DAHFCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1619316585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308246",
            "telephone_number": "605-673-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308246",
            "telephone_number": "605-673-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAP",
        "first_name": "BRANDYN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "10064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDYN",
            "last_name": "JINKS",
            "middle_name": "ASHLEY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Custer, SD

Sources for this page

Verify at the official NPI Registry.