Provider Demographics
NPI:1992766026
Name:HAMMER, BRYAN J (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:J
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6601 S MINNESOTA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2564
Mailing Address - Country:US
Mailing Address - Phone:605-336-6294
Mailing Address - Fax:605-336-0266
Practice Address - Street 1:6601 S MINNESOTA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-336-6294
Practice Address - Fax:605-336-0266
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD3744207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN532S8HAOtherBLUE SHIELD MN
SD6300060Medicaid
MN797818900Medicaid
SD02178OtherWELLMARK OF SD
MN123562OtherUCARE MN
ND18058Medicaid
3744OtherDAKOTACARE
NE46031185613Medicaid
MN6T52OHAOtherBLUE SHIELD OF MN
503-90-1755OtherTRICARE
HP76194OtherHEALTHPARTNERS
IA0003031OtherWELLMARK OF IA
IA0927822Medicaid
MN123562OtherUCARE MN
MN532S8HAOtherBLUE SHIELD MN
SD02178OtherWELLMARK OF SD
IA0003031OtherWELLMARK OF IA
MN6T52OHAOtherBLUE SHIELD OF MN
NE46031185613Medicaid