Active NPI
Bradley R Plaga, MD
- Orthopaedic Surgery Physician
- Sioux Falls, SD
National Provider Identifier
1831122910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4056
- Practice address
- 810 E 23Rd St
Sioux Falls, SD 57105-2135 - Phone
- (605) 331-5890
- Fax
- (605) 336-3974
- NPI assigned
- Jul 9, 2006
- Last updated
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4056 | SD | Primary |
Addresses
Primary practice location
810 E 23Rd St
Sioux Falls, SD 57105-2135
Mailing address
PO Box 5116
810 East 23Rd
Sioux Falls, SD 57117-5116
Phone (605) 331-5890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200039666 | Other | SD | RAILROAD MEDICARE |
| 1911107 | Medicaid | IA | |
| 6400732 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4056 | SD | MD | Orthopaedic Surgery Physician |
| 4056 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Institute PC | Orthopaedic Surgery | Past | Accepting new patients |
| Cardiovascular Associates PC | Past | Accepting new patients | |
| Stelzer Surgery, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Sioux City, IA
- NPI 1043284094
-
- General Practice Physician
- Le Mars, IA
- NPI 1104977867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1831122910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5116",
"address_2": "810 EAST 23RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175116",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 23RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052135",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAGA",
"first_name": "BRADLEY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SD",
"license": "4056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200039666",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1911107",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6400732",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
- Pioneer Memorial Hospital & Health Services (Bess surgery Clinic)
- Kelcey Janet Piroutek, COTA
- Jill Louise Pitz, APRN, FNP-BC
- Melissa Jo Pitz, M.S.
- Amanda Noel Funke Plaetz
- Anthony Werner Plagge
- Kristen Plank, OTR/L
- Planned Parenthood Minnesota, North Dakota, South Dakota
- Planned Parenthood South Dakota LLC
- Plastic Surgery Associates of South Dakota, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.