MEDICARE: BRADLEY CLARK THAEMERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	4414	SD
2	208600000X	Surgery Physician	41537	MN

General Provider Information

NPI Number	:	1083688279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY CLARK THAEMERT MD

Provider Business Mailing Address
First Line	:	911 E 20TH ST
Second Line	:	STE 700
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1049
Country	:	US
Telephone Number	:	605-334-0393
Fax Number	:	605-334-6028

Provider Business Practice Location Address
First Line	:	911 E 20TH ST
Second Line	:	STE 700
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1049
Country	:	US
Telephone Number	:	605-334-0393
Fax Number	:	605-334-6028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	06/06/2016

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1649244625 — DAVID ALLEN STRAND MD
Practice Location Address:

911 E 20TH ST , STE 700
SIOUX FALLS, SD
57105-1049

Practice Phone: 605-334-0393
Practice Fax: 605-334-6028

1962439182 — MICHAEL ALLEN PERSON MD
Practice Location Address:

911 E. 20TH ST , STE 700
SIOUX FALLS, SD
57105-1049

Practice Phone: 605-334-0393
Practice Fax: 605-334-6028

1760578975 — DR. DUSTIN L SMOOT MD
Practice Location Address:

911 E 20TH ST STE 700
SIOUX FALLS, SD
57105-1049

Practice Phone: 605-334-0393
Practice Fax:

1902993447 — KEELEY MICHELLE POLLMAN PA-C
Practice Location Address:

911 E 20TH ST , STE 700
SIOUX FALLS, SD
57105-1049

Practice Phone: 605-334-0393
Practice Fax: 605-334-6028

1760569248 — SURGICAL INSTITUTE OF SOUTH DAKOTA, PC
Practice Location Address:

911 E. 20TH ST. , STE. 700
SIOUX FALLS, SD
57105-1049

Practice Phone: 605-334-0393
Practice Fax: 605-334-6028

Directions to “ BRADLEY CLARK THAEMERT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.