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DR. RICHARD A. WAKE MD
NPI 1053361014
Family Medicine in Brookings, SD

Active since May 11, 2006
400 22ND AVE., BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard A. Wake Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD A. WAKE MD (NPI 1053361014) is an individual family medicine provider in Brookings, South Dakota, licensed in South Dakota (2188) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1053361014
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD A. WAKECredential: MD
Location Address400 22ND AVE.Brookings, SD 57006-2497
Mailing Address400 22nd Ave.Brookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 697-6939
Phone(605) 697-9500
Fax(605) 697-6939
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 30, 2008
✔ NPI 1053361014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 2188
Definition
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.
400 22ND AVE., Brookings, SD 57006
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Other Identifiers 3

Medicaid5600292SD
Medicare UPIND25673SD
Medicare PIN42301SD

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMY L. BAKKER PAC
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
MR. RODNEY KING PAC
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
DR. DEBRA J. RODEGHIERO JOHNSTON MD
Family Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
MS. TARA A. HEINZE PAC
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
DR. GERALD L. TURNER MD
Pediatrics
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
DR. ERIC M. MURUNGA MD
Internal Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
MR. CHARLES E. MCCULLOUGH CPT
Physical Therapist (Hand)
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500
MS. KAREN I. SIEVERS PT
Physical Therapist
400 22ND AVE.
BROOKINGS, SD 57006
Brookings County (605) 697-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Wake's NPI number?

The NPI number for Richard Wake is 1053361014. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Richard Wake located?

Richard Wake practices at 400 22nd Ave., Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is Richard Wake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard Wake was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.