Healthcare Provider Details

I. General information

NPI: 1871426312
Provider Name (Legal Business Name): BERIT PRESTON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 E MONROE ST
RAPID CITY SD
57701-1400
US

IV. Provider business mailing address

22760 STONEMEADOW RD
RAPID CITY SD
57702-7700
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-4060
  • Fax:
Mailing address:
  • Phone: 605-390-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: