NPIMap

Individual provider Active NPI

Brian Douglas Kampmann, MD

  • Orthopaedic Surgery Physician
  • Mitchell, SD
National Provider Identifier
1801014956
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7554 Issued in SD
Practice address
625 N Foster St
Suite 200
Mitchell, SD 57301-2969
Phone
(605) 996-3963
Fax
(605) 996-0718
NPI assigned
Apr 23, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0431898 KS
Orthopaedic Surgery Physician 207X00000X 7554 SD Primary

Addresses

Primary practice location

625 N Foster St
Suite 200
Mitchell, SD 57301-2969

Mailing address

625 N Foster St
Suite 200
Mitchell, SD 57301-2969

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
I20090819000600 SD Practitioner - Orthopedic Surgery 3971657347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Sanford School of Medicine of University of South Dakota, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians

Practice addresses (Care Compare)

401 W Glynn Dr
Avera St Benedict Hospital
Parkston, SD 57366-9605
Phone (605) 928-3311

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

601 E 7TH St
Platte, SD 57369-2123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0431898KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Aug 1, 2009 Accepting new patients
Avera Queen of Peace CurrentSince Aug 1, 2009 Accepting new patients
Avera Queen of Peace Current Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

625 N Foster St
Ste 200
Mitchell, SD 57301
Phone (605) 996-1800

Interoperability endpoints

  • Direct secure messaging: brian.kampmann@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1801014956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969",
            "telephone_number": "605-996-3963",
            "fax_number": "605-996-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPMANN",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0431898",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.