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

Brendan Wicakasota Whitebird, RN-BSN

Individual provider Ambulatory Care Registered Nurse · NPI 1467211318

Brendan Wicakasota Whitebird, RN-BSN is an Ambulatory Care Registered Nurse in Rapid City, South Dakota. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2024

Practice location Address checks out

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone: (605) 355-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence R058640 (SD)

Record details

NPI number1467211318
Entity typeIndividual (Type 1)
GenderMale
Credentials RN-BSN
Sole proprietorYes
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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