Bernard T. Poole, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BERNARD T. POOLE, MD, PA

Practice address

818 N Emporia St
Suite 107
Wichita, KS 67214-3729

Phone

(316) 264-2806

Fax

(316) 264-4716

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Bernard T Poole, MD

Title

Owner

Phone

(316) 264-2806

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1205164282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-264-2806",
            "fax_number": "316-264-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-264-2806",
            "fax_number": "316-264-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD T. POOLE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-264-2806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn J Bergman, D.C.
• Crista Bergosh
• Michael M Bergsten, SLP
• Helen Surafeal Berhe
• Ryan Vincent Berland, C.R.N.A.
• Elias O Bernard, ARRT
• Krista Renee Bernardo, OTRL
• Taylor Berner, NP-C
• Andrew R Berry, MD
• Heather Berry, OTR/L

• Orthopaedic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.