Individual provider Active NPI

Brannon Shea Donovan, MD

  • Rheumatology Physician
  • Wichita, KS
National Provider Identifier
1225667231
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
04-51398 Issued in KS
Practice address
13205 W 21St CT N
Wichita, KS 67235-9625
Phone
(316) 612-4815
Fax
(316) 612-4825
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 04-51398 KS Primary

Addresses

Primary practice location

13205 W 21St CT N
Wichita, KS 67235-9625

Mailing address

13205 W 21St CT N
Wichita, KS 67235-9625
Phone (316) 612-4815

Other practice location 1

1921 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 612-4815

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814001389 KS Practitioner - Internal MedicinePractitioner - Rheumatology 0143644294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Kansas City University of Physicians and Surgeons, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13205 W 21St CT N
Arck West
Wichita, KS 67235-9625
Phone (316) 612-4815

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatology Clinics of Kansas LLC CurrentSince Jul 14, 2025 Accepting new patients
Arthritis and Rheumatology Clinics of Kansas LLC Rheumatology CurrentSince Jul 14, 2025 Accepting new patients

Locations

1921 N Webb Rd
Wichita, KS 67206
Phone (316) 612-4815

13205 W 21st Ct N
Wichita, KS 67235
Phone (316) 612-4815

Interoperability endpoints

  • Direct secure messaging: brandon.donovan.p1@direct.arck.nextgenshare.com

Organizations & group practices 2

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1225667231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 W 21ST CT N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359625",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 W 21ST CT N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359625",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 N Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063405",
            "country_code": "US",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "BRANNON",
        "middle_name": "SHEA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "04-51398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.