Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Black Hills Orthopedic & Spine Center of Wyoming PC

Organization Orthopaedic Surgery Physician · NPI 1538644679

Black Hills Orthopedic & Spine Center of Wyoming PC is an Orthopaedic Surgery Physician in Gillette, Wyoming. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2201 S Douglas Hwy Ste 120
Gillette, WY 82718-5408
Phone: (800) 446-9546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1538644679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Marris — Admin Asst · (605) 737-9144
NPI enumeratedSeptember 25, 2018
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing addressPo Box 6850, Rapid City, SD 57709-6850

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