Individual provider Active NPI

David W Brosa, PA-C

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1164523460
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00459 Issued in KS
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-6000
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00459 KS Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 1

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other identifiers 2

IdentifierTypeStateIssuer
100350540DMedicaidKS
100350540AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbrosa7343@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address dbrosa7343@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000897 KS Practitioner - Physician Assistant 2567400575 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
459KSMDAddiction (Substance Use Disorder) Counselor
15-00459KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 23, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Mar 12, 2018 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 23, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Mar 12, 2018 Accepting new patients
Emergency Physicians of Topeka PA Physician Assistant Past Accepting new patients

Locations

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

901 SW Garfield Ave
Topeka, KS 66606

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Interoperability endpoints

  • Direct secure messaging: dbrosa7343@stormontvaildirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1164523460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000",
            "fax_number": "785-354-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "fax_number": "785-576-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSA",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100350540D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100350540A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrosa7343@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrosa7343@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.