Individual provider Active NPI

Brian Bambara, D.O.

  • Anesthesiology Physician
  • Iowa City, IA
National Provider Identifier
1154733814
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R-09997 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-2633
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R-09997 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

3411 Top of the World Dr
Manhattan, KS 66503-9761
Phone (785) 236-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180709001558 KS Practitioner - Anesthesiology 0345467650 Reassigns benefits to 1 organization
I20200225000649 NE Practitioner - Anesthesiology 0345467650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians
Anesthesia West PCGroup PAC ID 4789596834, 72 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (678) 690-7816

707 N 190TH Plaza
Methodist Women'S Hospistal
Elkhorn, NE 68022-3974
Phone (402) 815-4000

7801 Wakeley PLZ
Omaha, NE 68114-3651
Phone (402) 391-4855

7915 Farnam Dr
Omaha, NE 68114-4504
Phone (402) 399-1900

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2132NEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Washington, PC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1154733814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 TOP OF THE WORLD DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665039761",
            "telephone_number": "785-236-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBARA",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "R-09997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.