Healthcare Provider Details

I. General information

NPI: 1558221473
Provider Name (Legal Business Name): BLACK HILLS MEDICAL GROUP LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 SAINT FRANCIS ST
RAPID CITY SD
57701-4677
US

IV. Provider business mailing address

3289 SANDSTONE LN
RAPID CITY SD
57701-5388
US

V. Phone/Fax

Practice location:
  • Phone: 605-431-8586
  • Fax:
Mailing address:
  • Phone: 605-431-8586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BINDEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 605-431-8586