Healthcare Provider Details

I. General information

NPI: 1053249953
Provider Name (Legal Business Name): SCOTT DRABEK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 SUMMIT ST
BELLE FOURCHE SD
57717-2040
US

IV. Provider business mailing address

819 5TH AVE
BELLE FOURCHE SD
57717-1701
US

V. Phone/Fax

Practice location:
  • Phone: 605-569-1727
  • Fax:
Mailing address:
  • Phone: 605-210-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: