NPI 1215100813 · live from the CMS NPI Registry
Avera St. Luke'S
Internal Medicine in Aberdeen, SD. National Provider Identifier 1215100813, active.
NPI record
| NPI | 1215100813 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 105 S State St Ste 201, Aberdeen, SD 57401 |
| Practice phone | 605-622-5458 |
| Mailing address | Po Box 86370, Sioux Falls, SD 57118 |
| Enumerated | April 4, 2008 |
| Last updated | April 21, 2026 |
| Authorized official | Daniel Bjerknes, President/Ceo |
| Other names | Avera Pulmonology Aberdeen; Avera Internal Medicine Aberdeen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Dietitian, Registered | 133V00000X | 10525 (SD) |
| Internal Medicine primary | 207R00000X | 10525 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.