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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: July 26, 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.

LINNEA ANN PUTNAM PHARM.D.,MBA
Pharmacist (Pharmacotherapy)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2392
RAPID CITY INDIAN HEALTH SERVICE HOSPITAL
General Acute Care Hospital
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. GENIE MARIE ELLIS FNP
Nurse Practitioner (Family)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2443
MS. KIBBE M CONTI RD
Dietitian, Registered
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (655) 355-2378
DR. PATRICK BRITTON O.D
Optometrist
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2390
MS. PAULETTE E CUNY MSW LCSW
Social Worker
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2216
DR. BRENDA L FARRIS M.D.
Internal Medicine
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2234
MRS. VIRGINIA LYNN FREI M.D.
Family Medicine
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2223

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 with the weekly NPPES data releases published by CMS.