SANFORD CLINIC NPI 1073536066

NPI Information

  • NPI: 1073536066
  • Provider Name: SANFORD CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SANFORD CLINIC FAMILY MEDICINE BRANDON
  • CLIA Number: 43D2047251
  • Address: 1105 E HOLLY BLVD
    BRANDON, SD
    ZIP 57005
  • Phone: (605) 582-5820

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NPI Details

SANFORD CLINIC is a family medicine in Brandon, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SANFORD CLINIC NPI is 1073536066. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Clinic Family Medicine Brandon.

The provider's business location address is:

1105 E HOLLY BLVD
BRANDON, SD
ZIP 57005-359
Phone: (605) 582-5820
Fax: (605) 582-5823

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 43D2047251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 6/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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