Individual provider Active NPI

Sharron K Bramblee, CNP PAC

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1750312302
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0192 Issued in SD
Practice address
7236 Jordan Dr
Suite 100 a
Rapid City, SD 57702-8740
Phone
(605) 718-3747
Fax
(605) 718-3047
NPI assigned
Jul 5, 2006
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0192 SD Primary

Addresses

Primary practice location

7236 Jordan Dr
Suite 100 a
Rapid City, SD 57702-8740

Mailing address

7236 Jordan Dr
Ste 100a
Rapid City, SD 57702-8740
Phone (605) 718-3747

Other identifiers 2

IdentifierTypeStateIssuer
6201104MedicaidSD
7511OtherSDUNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000487 SD Practitioner - Physician Assistant 4082765961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Plastic & Reconstructive Surgery Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbramblee@rapidcityobgyn.directbygreenway.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1750312302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR",
            "address_2": "STE 100A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740",
            "telephone_number": "605-718-3747",
            "fax_number": "605-718-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR",
            "address_2": "SUITE 100 A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740",
            "telephone_number": "605-718-3747",
            "fax_number": "605-718-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLEE",
        "first_name": "SHARRON",
        "middle_name": "K",
        "credential": "CNP PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201104",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "7511",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.