Ted Brockett in Rapid City - Emergency Medicine
Ted Brockett - NPI 1760440408
Ted Brockett is a Emergency Medicine in Rapid City, South Dakota. Ted Brockett practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Ted Brockett is 1760440408. The last update date is 2007-07-09.
Ted Brockett's current location address is 3200 Canyon Lake Dr, Rapid City, South Dakota. You can contact this provider via phone number 6053552500. The mailing address for Ted Brockett is 3200 Canyon Lake Dr, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted Brockett |
|---|---|
| Address | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Phone Number | 6053552500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760440408 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3200 Canyon Lake Dr |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577028114 |
| Phone Number | 6053552500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 30436 |
|
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00406766M | GA | -- | |
| 790611N | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ted Brockett by the Centers for Medicare & Medicaid Services?
The Ted Brockett has been issued the NPI (National Provider Identifier) 1760440408 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ted Brockett?
The Ted Brockett is physically situated at 3200 Canyon Lake Dr, in the city of Rapid City, state of SD, with the postal code 577028114.
What is the Ted Brockett's specialty and taxonomy code?
The Ted Brockett's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
When did Ted Brockett receive its 1760440408 assignment?
The Ted Brockett was assigned its 1760440408 on 2006-05-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ted Brockett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ted Brockett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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