SANFORD CLINIC FAMILY MEDICINE BRANDON
NPI 1073536066
Family Medicine in Brandon, SD
NPI Status: Active since July 25, 2006
Contact Information
1105 E HOLLY BLVD
BRANDON, SD
ZIP 57005
Phone: (605) 582-5820
Fax: (605) 582-5823
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 43D2047251
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-19-2026
About SANFORD CLINIC FAMILY MEDICINE BRANDON
This page provides the complete NPI Profile along with additional information for Sanford Clinic Family Medicine Brandon, a primary care provider established in Brandon, South Dakota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1073536066 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Sanford Clinic Family Medicine Brandon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sanford Clinic Family Medicine Brandon. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)
- NPI
- 1073536066
- Provider Legal Name
- SANFORD CLINIC
- Other Organization Name
- SANFORD CLINIC FAMILY MEDICINE BRANDON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1105 E HOLLY BLVD BRANDON, SD 57005
- Location Phone
- (605) 582-5820
- Location Fax
- (605) 582-5823
- Mailing Address
- PO BOX 5074 SIOUX FALLS, SD 57117
- Mailing Phone
- (605) 328-6585
- Mailing Fax
- (605) 582-5823
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 06-26-2020
- Code Navigator
A primary care provider (PCP) like Sanford Clinic Family Medicine Brandon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2047251
- Facility Type
- Physician Office
- Certificate Effective Date
- September 20, 2024
- Certificate Expiration Date
- September 19, 2026
- Laboratory Director
- NICOLAS VAN ES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sanford Clinic Family Medicine Brandon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 3 | 6 | 0 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 3 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 3 + 1 + 2 + 0 + 1 + 2 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1073536066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285620120 | DR. NICOLAS JON VAN ES M.D. Individual | Family Medicine | 1105 E HOLLY BLVD BRANDON, SD 57005 (605) 582-5820 |
| 1750538096 | KASSY A THORPE M.D. Individual | Pediatrics | 1105 E HOLLY BLVD BRANDON, SD 57005 (605) 582-5820 |
| 1467797969 | MELISSA ANN TAUER MS, LPC, NCC Individual | Counselor (Mental Health) | 1105 E HOLLY BLVD BRANDON, SD 57005 (605) 582-5820 |
| 1730157793 | LINNE Y. CURTIS BAYT M.D. Individual | Pediatrics | 1105 E HOLLY BLVD BRANDON, SD 57005 (605) 582-5820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073536066, enumerated in the NPI registry as an "organization" on July 25, 2006
The provider is located at 1105 E Holly Blvd Brandon, Sd 57005 and the phone number is (605) 582-5820
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 43D2047251 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.