BKD Clare Bridge of Wichita, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BKD CLARE BRIDGE OF WICHITA, LLC

Practice address

9191 E 21St St N
Wichita, KS 67206-2923

Phone

(316) 630-0788

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale East Wichita Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1245030865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062923",
            "telephone_number": "316-630-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062923",
            "telephone_number": "316-630-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD CLARE BRIDGE OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale East Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan R. Bishop, LSCSW
• Wesleigh Ann Bishop, PHARMD
• Mustapha Kassem Bitar, MD
• John Bjerum, LMSW
• Kirsten Bjorkman, M.D.
• BKD Sterling House of Wichita-Tallgrass, LLC
• Blade William Black, PHARMD
• Bryan L Black, MD
• Courtney Renee Black, PHARMD
• Danielle Black, M.S.

• All providers in Wichita, KS
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.