Individual provider Active NPI

Brian K Kidman, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1699788281
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1799 Issued in SD
Practice address
2701 S Minnesota Ave
Ste 3
Sioux Falls, SD 57105-4744
Phone
(605) 339-3378
Fax
(605) 339-0710
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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 1799 SD Primary

Addresses

Primary practice location

2701 S Minnesota Ave
Ste 3
Sioux Falls, SD 57105-4744

Mailing address

2701 S Minnesota Ave
Ste 3
Sioux Falls, SD 57105-4744
Phone (605) 339-3378

Other identifiers 1

IdentifierTypeStateIssuer
5404647MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326003262 MO Practitioner - Family Practice 8921993353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

3525 E Battlefield St
Springfield, MO 65809-3434
Phone (417) 269-1499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

3525 E Battlefield St
Springfield, MO 65809
Phone (417) 269-0065

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1699788281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S MINNESOTA AVE",
            "address_2": "STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054744",
            "telephone_number": "605-339-3378",
            "fax_number": "605-339-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S MINNESOTA AVE",
            "address_2": "STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054744",
            "telephone_number": "605-339-3378",
            "fax_number": "605-339-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDMAN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5404647",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.