Bradley W. Bruner in Wichita - Sports Medicine
Bradley W. Bruner - NPI 1548208176
Bradley W. Bruner is a Sports Medicine in Wichita, Kansas. Bradley W. Bruner practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bradley W. Bruner is 1548208176. The last update date is 2017-04-05.
Bradley W. Bruner's current location address is 10100 E Shannon Woods St, Wichita, Kansas. You can contact this provider via phone number 3162198299 and fax number 3162195899. The mailing address for Bradley W. Bruner is 10100 E Shannon Woods St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley W. Bruner |
|---|---|
| Address | 10100 E Shannon Woods St, Wichita, Kansas |
| Phone Number | 3162198299 |
| Fax Number | 3162195899 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548208176 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2017-04-05 |
Provider Mailing Address Detail
| Address | 10100 E Shannon Woods St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672264104 |
| Phone Number | 3162198299 |
| Fax Number | 3162195899 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 04-23086 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 624020 | KS | FIRST GUARD | |
| 200045358 | RR MEDICARE | ||
| 102519 | KS | BLUE SHIELD | |
| 100124260D | KS | -- | |
| 1672 | KS | PREFERRED HEALTH SYSTEMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley W. Bruner by the Centers for Medicare & Medicaid Services?
The Bradley W. Bruner has been issued the NPI (National Provider Identifier) 1548208176 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradley W. Bruner is located?
The Bradley W. Bruner is situated at the following address: 10100 E Shannon Woods St, Wichita, KS, 672264104.
Could you kindly provide the complete physical address where Bradley W. Bruner's facilities are geographically located?
The facilities of Bradley W. Bruner are physically situated at the following location: 10100 E Shannon Woods St, Wichita, KS, 672264104.
What is Bradley W. Bruner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley W. Bruner's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did Bradley W. Bruner receive its 1548208176 assignment from the Centers for Medicare & Medicaid Services?
The Bradley W. Bruner was assigned its 1548208176 on 2006-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.