AVERA MEDICAL GROUP BROOKINGS
NPI 1912936535
General Practice in Brookings, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1912936535. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Avera Medical Group Brookings.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 03, 2006

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

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avera Medical Group Brookings NPPES

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

AVERA MEDICAL GROUP BROOKINGS (NPI 1912936535) is a healthcare organization registered as a general practice in Brookings, South Dakota and active in the NPI registry since July 2006. The organization lists Julie N Norton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912936535

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameAVERA MCKENNAN

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

Organization SubpartNo

Authorized OfficialJulie N NortonCfo · (605) 322-6375

Enumeration DateJuly 3, 2006

Last NPPES UpdateMarch 10, 2011

✔ NPI 1912936535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

400 22ND AVE., Brookings, SD 57006

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Other Names 1

Doing Business AsAvera Medical Group Brookings

Other Identifiers 2

Medicare NSC1202730018SD

Medicare PINS42279SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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