Provider Demographics
NPI:1932173622
Name:BECKSTRAND, SCOTT ALAN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALAN
Last Name:BECKSTRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:6100 S LOUISE AVE STE 1120
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6021
Practice Address - Country:US
Practice Address - Phone:605-504-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4907207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0404479OtherMEDICA
NE46022474335Medicaid
SD32316OtherSANFORD HEALTH PLAN
MN49G87BEOtherCC SYSTEMS/ BLUE PLUS
SDHP34437OtherHEALTHPARTNERS
SD233694OtherMIDLANDS CHOICE
SD769201028394OtherPREFERRED ONE
SD1373750OtherARAZ/ AMERICA'S PPO
MN151761OtherUCARE
MN92411422901OtherPRIMEWEST
MN286988800Medicaid
SD4907OtherDAKOTACARE
SD6004230Medicaid
SD0008138OtherBLUE CROSS
SD57105F006OtherWPS TRICARE
IA0545186Medicaid
SD110225980OtherRR MEDICARE
SD1373750OtherARAZ/ AMERICA'S PPO
MN151761OtherUCARE