SANFORD CLINIC FAMILY MEDICINE BRANDON
NPI 1073536066
Family Medicine in Brandon, SD

Active since July 25, 2006CLIA 43D2047251 · Waiver
1105 E HOLLY BLVD, BRANDON, SD 57005(605) 582-5820(605) 582-5823 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanford Clinic Family Medicine Brandon NPPES

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

SANFORD CLINIC FAMILY MEDICINE BRANDON (NPI 1073536066) is a healthcare organization registered as a family medicine in Brandon, South Dakota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1073536066
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANFORD CLINIC
Location Address1105 E HOLLY BLVDBrandon, SD 57005-1359
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 582-5823
Fax(605) 582-5823
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
NPI 1073536066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1105 E HOLLY BLVD, Brandon, SD 57005

Other Names 1

Doing Business AsSanford Clinic Family Medicine Brandon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2047251

Sanford Clinic Family Medicine Brandon · Brandon, SD
Active · expires Sep 19, 2026
CLIA Number43D2047251
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorNicolas Van Es
Laboratory Phone(605) 582-5820
Laboratory LocationSanford Clinic Family Medicine Brandon1105 East Holly Blvd, Brandon, SD 57005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1105 E HOLLY BLVD
BRANDON, SD 57005
Counselor (Mental Health)
1105 E HOLLY BLVD
BRANDON, SD 57005
Pediatrics
1105 E HOLLY BLVD
BRANDON, SD 57005
Pediatrics
1105 E HOLLY BLVD
BRANDON, SD 57005

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 Sanford Clinic's NPI number?

The NPI number for Sanford Clinic is 1073536066. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Sanford Clinic Family Medicine Brandon.

Where is Sanford Clinic located?

Sanford Clinic is located at 1105 E Holly Blvd, Brandon, SD 57005. The listed phone number is (605) 582-5820.

What is Sanford Clinic's specialty?

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

Does Sanford Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2047251) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanford Clinic accept?

Health plans from Medica and Sanford Health Plan list Sanford Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanford Clinic was last updated on June 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.