Individual provider Active NPI

Samuel V Bruna, MD

  • Surgery Physician
  • Sabetha, KS
National Provider Identifier
1083230734
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-51262 Issued in KS
Practice address
603 S 14TH St
Sabetha, KS 66534-2105
Phone
(785) 284-2121
Fax
(785) 284-1514
NPI assigned
Jun 18, 2020
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-51262 KS Primary

Addresses

Primary practice location

603 S 14TH St
Sabetha, KS 66534-2105

Mailing address

PO Box 229
Sabetha, KS 66534-0229
Phone (785) 284-2121

Other practice location 1

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116

Other practice location 2

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722000299 KS Practitioner - General Surgery 1557786779 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Resources of Jackson Co IncGroup PAC ID 7810807690, shared by 8 NPIs, 27 clinicians
Great Plains of Sabetha IncGroup PAC ID 5698676146, shared by 6 NPIs, 17 clinicians
Nemaha Valley Community HospitalGroup PAC ID 2668383472, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2126

1115 Main St
Sabetha, KS 66534-1832
Phone (785) 284-2141

14 TH and Oregon Streets
Sabetha, KS 66534-0229
Phone (785) 284-2121

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-0439

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Resources of Jackson Co Inc CurrentSince Aug 25, 2025 Accepting new patients
Nemaha Valley Community Hospital CurrentSince Aug 25, 2025 Accepting new patients
Rural Health Resources of Jackson Co Inc CurrentSince Aug 25, 2025 Accepting new patients
Great Plains of Sabetha Inc Current Accepting new patients
Nemaha Valley Community Hospital Current Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince Jul 3, 2025 Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince Jul 3, 2025 Accepting new patients
Nemaha Valley Community Hospital CurrentSince Aug 25, 2025 Accepting new patients
Rural Health Resources of Jackson Co Inc Current Accepting new patients
Rural Health Resources of Jackson Co Inc Past Accepting new patients

Locations

1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

1115 Main St
Sabetha, KS 66534
Phone (785) 284-2141

603 S 14th St
Sabetha, KS 66534

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

Interoperability endpoints

  • Direct secure messaging: samuel.bruna.1@16424.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1083230734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665340229",
            "telephone_number": "785-284-2121",
            "fax_number": "785-284-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S 14TH ST",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665342105",
            "telephone_number": "785-284-2121",
            "fax_number": "785-284-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Columbine Dr",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "664368824",
            "country_code": "US",
            "telephone_number": "785-364-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "KS",
            "postal_code": "665389739",
            "country_code": "US",
            "telephone_number": "785-336-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNA",
        "first_name": "SAMUEL",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-51262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabetha, KS

Sources for this page

Verify at the official NPI Registry.