Basic Information
| Provider Information | |||||||||
| NPI: | 1972529915 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BIGNER | ||||||||
| FirstName: | DORI | ||||||||
| MiddleName: | RENE' | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 E 21ST ST | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053228000 | ||||||||
| FaxNumber: | 6053228414 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 E 21ST ST | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053228000 | ||||||||
| FaxNumber: | 6053228414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 06/14/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 5359 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 33646 | IA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 10024 | MT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 5359 | SD | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 0269514 | 05 | IA | MEDICAID | 17725 | 01 | IA | MEDICARE ID | OTHER | 1972529915 | 05 | MT | MEDICAID | 6004790 | 05 | SD | MEDICAID | 110244492 | 01 | IA | MEDICARE RAILROAD | OTHER |