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

Wesley W Broeder, PA-C

Individual provider Physician Assistant · NPI 1598952822

Wesley W Broeder, PA-C is a Physician Assistant in Spearfish, South Dakota. Qualified in 2007, 19 years ago. Practices with Monument Health Network Inc, a 164-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
19
Licensed in
SD
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2479 E Colorado Blvd
Spearfish, SD 57783-3204
Phone: (605) 644-4460
Fax: (605) 644-4461
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0657 (SD)

Record details

NPI number1598952822
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2007
Last updated in NPPESFebruary 5, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Monument Health Network Inc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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