Brenda Nallely Aguirre Apodaca, MD
Individual provider Active NPI Family Medicine Physician · Wichita, KS
NPI 1295550481 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1295550481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 94-12767 (KS)
- Practice address
- 1121 S Clifton Ave
Wichita, KS 67218-2912 - Phone
- (316) 689-5500
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260613000397 | KS | Order and Referring Only - Family Practice |
6709358401 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-12767 | KS | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-12767 | KS | Yes |
Addresses
Primary practice location
1121 S Clifton Ave
Wichita, KS 67218-2912
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2635
Other providers in Wichita, KS
- Robin L Agpoon
- Brittany I Aguh
- Katelyn Danae Aguiar
- Carmen Maria Aguilar
- Andrea Aguilera
- Conrado M Agustin Jr.
- Conrado M Agustin Sr.
- Mia Agustin
- Regina Agwu
- Ahead ABA KS
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 Jun 3, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.