Bruner, Bradley W.

Bruner, Bradley W. is an individual health care provider with primary practice located at 10100 E Shannon Woods St Suite 100, Wichita KS 67226-4104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bruner, Bradley W. can be contacted via phone (316) 219-8299.

Contact Information

Primary practice address
10100 E Shannon Woods St Suite 100 Wichita KS 67226-4104
Phone: (316) 219-8299
Fax: (316) 219-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0423086 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 04-23086 Kansas

Profile Details

NPI number 1548208176
LBN Legal business name Bruner, Bradley W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548208176 NPPES
Kansas Other 624020 FIRST GUARD
Kansas Other 200045358 FIRST GUARD
Kansas Other 102519 FIRST GUARD
Kansas MEDICAID 100124260D FIRST GUARD
Kansas Other 1672 FIRST GUARD

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