Provider Demographics
NPI:1538227541
Name:HEILMAN, BERNARD F (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:F
Last Name:HEILMAN
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 1:323 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:SD
Mailing Address - Zip Code:57042-3200
Mailing Address - Country:US
Mailing Address - Phone:605-256-6551
Mailing Address - Fax:605-256-6469
Practice Address - Street 1:323 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:SD
Practice Address - Zip Code:57042-3200
Practice Address - Country:US
Practice Address - Phone:605-256-6551
Practice Address - Fax:605-256-6469
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD15092OtherMIDLAND
SD01-20637OtherMEDICA
SD1349OtherDAKOTA CARE
SD0005278OtherWELLMARK BLUE CROSS/BS
SD0120637OtherUNITED HEALTH CARE
SD1930OtherAVERA HEALTH PLANS
SD5602622OtherOTHER INSURANCE
SD20590OtherSIOUX VALLEY HEALTH
SD5602622Medicaid
SD0120637OtherUNITED HEALTH CARE
SD1349OtherDAKOTA CARE