James Byron Kullbom, MD is a
Orthopaedic Surgery physician based in Fort Meade, South Dakota. James Byron Kullbom is licensed to practice in Alaska (license number 2614) and his current practice location is 113 Comanche Rd, Fort Meade, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 720-7000.
NPI number for James Byron Kullbom is 1639261233 and his current mailing address is 14010 Golf Course Rd, Rapid City, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639261233.
Physician's Profile
| Full Name | James Byron Kullbom |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 113 Comanche Rd, Fort Meade, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639261233
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for James Byron Kullbom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639261233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 2614 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Byron Kullbom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James Byron Kullbom, MD
14010 Golf Course Rd,
Rapid City, SD 57702-7311
Ph: () - | James Byron Kullbom, MD
113 Comanche Rd,
Fort Meade, SD 57741-1002
Ph: (605) 720-7000 |
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