Provider Demographics
NPI:1700852480
Name:HURLEY, BRIAN T (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:T
Last Name:HURLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S. MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1301 S. CLIFF AVE
Practice Address - Street 2:STE 601
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1032
Practice Address - Country:US
Practice Address - Phone:605-322-6930
Practice Address - Fax:605-322-6931
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD2052207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD407141028094OtherPREFERRED ONE
NE46022474347Medicaid
IA2920926Medicaid
SD6000515Medicaid
SD2052OtherDAKOTACARE
SD4800220OtherMEDICA
SD27053OtherSANFORD HEALTH PLAN
MN606095100Medicaid
IA38061OtherBLUE CROSS
SD57105W003OtherWPS TRICARE
SDHP24408OtherHEALTHPARTNERS
SD0040348OtherBLUE CROSS
SD1529OtherMIDLANDS CHOICE
SD23140OtherARAZ/ AMERICA'S PPO
MN286T3HUOtherBLUE CROSS
MN286T3HUOtherCC SYSTEMS/ BLUE PLUS
SD407141028094OtherPREFERRED ONE
MN286T3HUOtherCC SYSTEMS/ BLUE PLUS
SD23140OtherARAZ/ AMERICA'S PPO
MN290000488Medicare PIN