BROCK J DOUBLEDEE


Address: 1600 W 22nd, Sioux Falls, SD 57105-1521
Phone: 6053121000

BROCK J DOUBLEDEE (NPI# 1013994730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013994730
Entity Type Individual
Full Name BROCK J DOUBLEDEE
Credential D.O.
Practice Address 1600 W 22nd
Sioux Falls
SD 57105-1521
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 6053121000
Practice Fax Number 6053121001
Mailing Telephone 6053121000
Mailing Fax Number 6053121001
Enumeration Date 2005-12-22
Last Update Date 2009-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 47322 MN Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
5852 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 620933500 05

Office Location

Street Address 1600 W 22ND
City SIOUX FALLS
State SD
Zip Code 57105-1521

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
Find all providers in zip 57105

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174898316 Sarah Cole Pediatrics 1417 S Cliff Ave Ste 10, Sioux Falls, SD 57105-1014 2012-03-21
1174570659 Tonya R. Adamiak Pediatrics 1600 W 22nd St, Sioux Falls, SD 57105-1521 2006-05-28
1770559007 Stephen Errol Nanton Pediatrics 1417 S. Cliff Ave, Ste 100, Sioux Falls, SD 57105-1014 2006-02-27

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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