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DR. TED BROCKETT MD
NPI 1760440408
Emergency Medicine in Rapid City, SD

Active since May 03, 2006
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2500 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ted Brockett Md NPPES

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

DR. TED BROCKETT MD (NPI 1760440408) is an individual emergency medicine provider in Rapid City, South Dakota, licensed in Georgia (030436) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1760440408
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TED BROCKETTCredential: MD
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address14420 Silver Mountain RoadRapid City, SD 57702 · (605) 343-0431
Phone(605) 355-2500
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1760440408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 030436
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3200 CANYON LAKE DR, Rapid City, SD 57702
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Other Identifiers 3

Medicaid00406766MGA
Medicaid790611NNC
Medicare ID-Type Unspecified93BDMFBGA · Medicare Part B

Other Providers at the Same Location NPPES 20

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

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

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 Ted Brockett's NPI number?

The NPI number for Ted Brockett is 1760440408. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Ted Brockett located?

Ted Brockett practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2500.

What is Ted Brockett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Ted Brockett was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.