Healthcare Provider Details

I. General information

NPI: 1942393509
Provider Name (Legal Business Name): JAMES P BUCHANAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13179 BAKER PARK RD
RAPID CITY SD
57702-6571
US

IV. Provider business mailing address

13179 BAKER PARK RD
RAPID CITY SD
57702-6571
US

V. Phone/Fax

Practice location:
  • Phone: 605-484-3695
  • Fax:
Mailing address:
  • Phone: 605-484-3695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number10388
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: