Individual provider Active NPI

Brandi D Bunyan

  • Licensed Practical Nurse
  • Wichita, KS
National Provider Identifier
1124307335
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
B087184 Issued in KS
Practice address
1425 N Stratford LN
307
Wichita, KS 67206-1139
Phone
(316) 425-5509
Fax
(316) 425-3648
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X B087184 KS Primary

Addresses

Primary practice location

1425 N Stratford LN
307
Wichita, KS 67206-1139

Mailing address

1425 N Stratford LN
Wichita, KS 67206-1139
Phone (316) 425-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B087184KSMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1124307335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N STRATFORD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061139",
            "telephone_number": "316-425-5509",
            "fax_number": "316-425-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N STRATFORD LN",
            "address_2": "307",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061139",
            "telephone_number": "316-425-5509",
            "fax_number": "316-425-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNYAN",
        "first_name": "BRANDI",
        "middle_name": "D",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "B087184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.