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

Kerry Alan Blackham, DO

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1922014273

Kerry Alan Blackham, DO is a General Practice in Philip, South Dakota. Qualified in 1996, 30 years ago. Practices with Philip Health Services Inc, a 6-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
30
Licensed in
SD
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

503 W Pine St
Philip, SD 57567-0550
Phone: (605) 859-2566
Fax: (605) 859-2948
Show map & directions

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

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 9452 (SD)

Record details

NPI number1922014273
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 9, 2019
Mailing address503 West Pine, Philip, SD 57567-0550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Philip Health Services Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount