# DR. RAY T BIRKENKAMP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174594741
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | S2475 | SD | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 11/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0009375 | WELLMARK BCBS | SD |
| 01 | — | 2475 | DAKOTACARE | SD |
| 01 | — | 25172 | SANFORD HEALTH PLAN | SD |
| 05 | — | 6300290 | — | SD |