Individual provider Active NPI

Eric D. Brown, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1982091435
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2182 Issued in SD
Practice address
3240 E Bison TRL
Ste 100
Sioux Falls, SD 57108-8006
Phone
(605) 501-6685
Fax
(605) 681-9909
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2182 SD Primary

Addresses

Primary practice location

3240 E Bison TRL
Ste 100
Sioux Falls, SD 57108-8006

Mailing address

3240 E Bison TRL
Ste 100
Sioux Falls, SD 57108-8006
Phone (605) 501-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207001859 SD Practitioner - Physical Therapist in Private Practice 6002125788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Harrisburg, SD 57032
Phone (605) 501-6685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2182SDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Movement Restoration LLC Orthopedic CurrentSince Nov 25, 2020 Accepting new patients
Avera McKennan CurrentSince Jan 13, 2020 Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

3240 E Bison Trl
Ste 100
Sioux Falls, SD 57108
Phone (605) 501-6685

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1982091435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 E BISON TRL",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088006",
            "telephone_number": "605-501-6685",
            "fax_number": "605-681-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 E BISON TRL",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088006",
            "telephone_number": "605-501-6685",
            "fax_number": "605-681-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERIC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SD",
            "license": "2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.