Search › South Dakota › 1041C0700X
Brian Mathis, CSW
NPI 1427404854 · on the registry since 2016
Practice
- Address
- 2900 Doolittle Dr
Ellsworth Afb, SD 57706 - Phone
- (605) 415-3433
- Organisation at this address
- 28th Medgrp-Ellsworth
28th Medgrp-EllsworthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota