Larry Thomas Bumguardner, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0519728 Issued in KS

Practice address

9505 West Central Ste 104
Wichita, KS 67212-3801

Phone

(316) 312-0002

Fax

(316) 854-5644

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: larrybumguardner@amh.ssdirect.aprima.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD

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

• Goodland Regional Medical Center

  • Critical Access Hospital Clinic/Center
  • Goodland, KS
  • NPI 1447392451
  NPD (past)
• Neurology Consultants of Kansas LLC

  • Neurology Physician
  • Wichita, KS
  • NPI 1760474936
  NPD (past)
• Sunflower Alternative Medicine, Inc.

  • Family Medicine Physician
  • Andover, KS
  • NPI 1427024512

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1154397255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 WEST CENTRAL STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123801",
            "telephone_number": "316-312-0002",
            "fax_number": "316-440-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 WEST CENTRAL STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123801",
            "telephone_number": "316-312-0002",
            "fax_number": "316-854-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGUARDNER",
        "first_name": "LARRY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0519728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Bullinger, DPT
• Eli Bullinger
• Erin Catherine Bullinger
• Sarah A Bullinger, ARNP, NNP
• Henry Lee Bumgardner Jr., O.D.
• Cassandra Bumsted, RD,LD
• Eric Christopher Bunting, MD
• Mary Bunting
• Bunyan Homes LLC
• Brandi D Bunyan

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.