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

Mr. Tyler James Broghammer

Individual provider Case Management Registered Nurse · NPI 1952000184

Mr. Tyler James Broghammer is a Case Management Registered Nurse in Rapid City, South Dakota. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2023

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

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence R049367 (SD)

Record details

NPI number1952000184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

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