Southern Hills Family Medicine, Prof LLC
NPI 1457013963 · Family Medicine Physician · Custer, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Hills Family Medicine, Prof LLC is a Family Medicine Physician organization in Custer, SD (NPI 1457013963).
Provider details
- NPI number
- 1457013963
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandyn Tarap, Sole Member(605) 673-3900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2711 Highway 18 WHot Springs, SD 57747-6602Phone: (605) 673-3900
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Southern Hills Family Medicine, Prof LLC's NPI number?
- Southern Hills Family Medicine, Prof LLC's National Provider Identifier (NPI) is 1457013963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Hills Family Medicine, Prof LLC?
- Southern Hills Family Medicine, Prof LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Hills Family Medicine, Prof LLC located?
- Southern Hills Family Medicine, Prof LLC's practice location on file with NPPES is 1369 Montgomery St, Custer, SD 57730-8246.
- What is Southern Hills Family Medicine, Prof LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Hills Family Medicine, Prof LLC is (605) 673-3900.
- Does Southern Hills Family Medicine, Prof LLC accept Medicare?
- Southern Hills Family Medicine, Prof LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Hills Family Medicine, Prof LLC?
- The authorized official listed on Southern Hills Family Medicine, Prof LLC's NPPES record is Brandyn Tarap, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Hills Family Medicine, Prof LLC's NPI active?
- Yes — Southern Hills Family Medicine, Prof LLC's NPI (1457013963) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.