Roger M Bruning, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-18080 Issued in KS

Practice address

7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654

Phone

(913) 384-4040

Fax

(913) 384-4093

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shawnee Mission Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Shawnee Mission, KS
  • NPI 1598970790
  NPD (past)
• Shawnee Mission Medical Center, Inc.

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306938477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931288",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "913-789-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-384-4040",
            "fax_number": "913-384-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "ROGER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-18080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "07923055",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Breen
• Averie Diane Brown, PT
• Terri E Brown, CRNA
• Steven Joseph Broxterman, MD
• Michael E Brun, MD
• Amy Buckman, LCPC
• Shelly Buehler
• Rachel S Buerman, CRNA
• Patricia Burrell
• Cara A Busenhart, C.N.M

• All providers in Shawnee Mission, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.