Ryan Brucker I
Individual provider Active NPI Case Manager/Care Coordinator · Rapid City, SD
NPI 1740600642 · NPPES record last updated Apr 18, 2014
Key facts
- NPI
- 1740600642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 350 Elk St
Rapid City, SD 57701-7351 - Phone
- (160) 534-3726
- Fax
- (160) 534-2369
- NPI assigned
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
350 Elk St
Rapid City, SD 57701-7351
Mailing address
111 North St
Rapid City, SD 57701-1163
Phone (160) 534-3065
Other providers in Rapid City, SD
- Makayla Brown
- Marlene Brown
- Sarah Lynn Brown
- Lamya Broyles
- Anna Bruce
- Hannah H Brun
- Amanda Bruning
- Bruscher Optometric PC LLC
- Cole Bruscher
- Kaitlin Elizabeth Bryan
All providers in Rapid City, SD · Case Manager/Care Coordinator in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.