NPIMap

Organization Active NPI

Avera St Luke's

Doing business as Avera Interventional Radiology Aberdeen

  • Vascular & Interventional Radiology Physician
  • Aberdeen, SD
National Provider Identifier
1740109677
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
AVERA ST LUKE'S
Doing business as
Avera Interventional Radiology Aberdeen
Practice address
310 S Penn St Ste 203
Aberdeen, SD 57401-4553
Phone
(605) 622-2895
NPI assigned
Jul 14, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Daniel J Bjerknes
Title
Regional President & Ceo
Phone
(605) 622-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

310 S Penn St Ste 203
Aberdeen, SD 57401-4553

Mailing address

PO Box 360452
Pittsburgh, PA 15250-6452
Phone (605) 622-2895

Other names 1

  • Avera Interventional Radiology Aberdeen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bowdle Hospital25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1740109677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360452",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152506452",
            "telephone_number": "605-622-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST STE 203",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-622-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA ST LUKE'S",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA HEALTH",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "BJERKNES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT & CEO",
        "authorized_official_telephone_number": "605-622-5230"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Interventional Radiology Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.