Basic Information
| Provider Information | |||||||||
| NPI: | 1295020618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRUMMOND | ||||||||
| FirstName: | NEIL | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 S CLIFF AVE | ||||||||
| Address2: | STE. 400 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053225750 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6100 S LOUISE AVE STE 1120 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571086021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6055041700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2011 | ||||||||
| LastUpdateDate: | 10/31/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 55228 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 9224 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.