MEDICARE: JAMES P BUCHANAN 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	10388	SD

General Provider Information

NPI Number	:	1942393509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES P BUCHANAN MD

Provider Business Mailing Address
First Line	:	13179 BAKER PARK RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-6571
Country	:	US
Telephone Number	:	605-484-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	13179 BAKER PARK RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-6571
Country	:	US
Telephone Number	:	605-484-3695
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	04/10/2026

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