Individual provider Active NPI

Brandon Kingrey

  • Ophthalmology Physician
  • Wichita, KS
National Provider Identifier
1225771660
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-53002 Issued in KS
Practice address
1530 N Lindberg Cir
Wichita, KS 67206-6400
Phone
(316) 263-6273
NPI assigned
Apr 14, 2022
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-53002 KS Primary
Ophthalmology Physician 207W00000X 39387 OK

Addresses

Primary practice location

1530 N Lindberg Cir
Wichita, KS 67206-6400

Mailing address

10512 E Summerfield Cir
Wichita, KS 67206-6808
Phone (316) 249-4943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1530 N Lindberg Cir
Wichita, KS 67206-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39387OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Surgery Consultants PA Ophthalmology CurrentSince Jul 1, 2026 Accepting new patients

Locations

1100 N Topeka St
Wichita, KS 67214
Phone (316) 263-6273

1530 N Lindberg Cir
Wichita, KS 67206
Phone (316) 263-6273

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1225771660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 E SUMMERFIELD CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066808",
            "telephone_number": "316-249-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N LINDBERG CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066400",
            "telephone_number": "316-263-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGREY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-53002",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "39387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.