Individual provider Active NPI

Brian Dwight Shelmadine, D.O, PH.D, CSCS

  • Sports Medicine (Family Medicine) Physician
  • Rapid City, SD
National Provider Identifier
1801281092
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
11546 Issued in SD
Practice address
1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone
(605) 755-6100
Fax
(605) 755-6101
NPI assigned
Apr 3, 2015
Last updated
Aug 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 11546 SD Primary

Addresses

Primary practice location

1635 Caregiver Cir
Rapid City, SD 57702-8529

Mailing address

1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone (605) 755-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191004002704 SD Practitioner - Sports Medicine 8628309630 Reassigns benefits to 1 organization
I20201204000502 NE Practitioner - Family PracticePractitioner - Sports Medicine 8628309630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Practice addresses (Care Compare)

2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301-4444

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

PO Box
Suite 678
Alliance, NE 69301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2217NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Aug 1, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Aug 1, 2019 Accepting new patients
Box Butte General Hospital CurrentSince Dec 5, 2020 Accepting new patients
Box Butte General Hospital CurrentSince Dec 5, 2020 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Shelmadine Health LLC Sports Medicine CurrentSince Jun 13, 2026 Accepting new patients

Locations

1207 W 2nd St
Alliance, NE 69301

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: bdshelmadine@bbgh.securechart.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greater Nebraska Medical & Surgical Services-HemingfordHemingford, NE, CCN 283454 Rural health clinic Corporate Officer Sep 1, 2025
Greater Nebraska Medical & Surgical Services-AllianceAlliance, NE, CCN 288502 Rural health clinic Corporate Officer
W-2 Managing Employee (100%)
Aug 8, 2023
Aug 8, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 1

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1801281092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "605-755-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "605-755-6100",
            "fax_number": "605-755-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELMADINE",
        "first_name": "BRIAN",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "D.O, PH.D, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SD",
            "license": "11546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.