Individual provider · NPI-1

Samantha Gervais-Leclaire, MD

Family Medicine · Brookings, SD

NPI number1770288680
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1770288680
Entity type
Individual (NPI-1)
Name
Samantha Gervais-Leclaire
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2023
Certification date
Jun 29, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0736SDYes

Other names

  • Samantha Rose Gervais (Former Name)

Practice location

400 22nd Ave
Brookings, SD 57006-2447

Phone 605-697-9500

Mailing address

400 22nd Ave
Brookings, SD 57006-2447

Phone 605-697-9500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Brookings, SD