Dr. Brian Clay Bak, DO
Chiropractor in Watertown, SD. Individual provider (NPI-1).
NPI number1861532913
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861532913
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Clay Bak
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 687 | SD | Yes |
Practice location
1 5th St SeWatertown, SD 57201-3778
Phone 605-882-4252
Mailing address
1129 4th Ave SeWatertown, SD 57201-4577
Phone 605-753-2050
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All 31 Chiropractor providers in Watertown · All 742 providers in Watertown
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