Brandon Wesley Alleman, MD
Individual provider Active NPI Family Medicine Physician · Wichita, KS
NPI 1275945552 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1275945552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-38249 (KS)
- Practice address
- 1126 S Clifton Ave
Wichita, KS 67218-2913 - Phone
- (316) 350-8008
- Fax
- (316) 350-8020
- NPI assigned
- May 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-38249 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antioch Med | Family Medicine | Current |
Accepting new patients |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Locations
1126 S Clifton Ave
Wichita, KS 67218
Phone (316) 260-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-38249 | KS | Yes |
Addresses
Primary practice location
1126 S Clifton Ave
Wichita, KS 67218-2913
Mailing address
1126 S Clifton Ave
Wichita, KS 67218-2913
Phone (316) 350-8008
Other providers in Wichita, KS
- All Four One Care LLC
- All Saints Health Care, LLC
- All Saints Home Care, Inc.
- Kathleen Frances Allee
- Allegiance Home Care Services, Inc
- Holly Marie Allen Terrell
- Amber Sue Allen
- Ashley Allen
- Brittany Allen
- Cross Allen
All providers in Wichita, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.