Individual provider Active NPI

Bruce M. Bammel, MD

  • Obstetrics & Gynecology Physician
  • Wichita, KS
National Provider Identifier
1366478273
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19756 Issued in KS
Practice address
3243 E. Murdock
#200
Wichita, KS 67208-3052
Phone
(316) 962-7175
Fax
(316) 962-7194
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19756KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Wesley Physician Services LLC PastSince Feb 14, 2011 Accepting new patients
Via Christi Regional Medical Center Inc Obstetrics & Gynecology Past Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bruce.bammel@hca3.eclinicaldirectplus.com
  • Direct secure messaging: bruce.bammel@khindirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19756 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

3243 E. Murdock
#200
Wichita, KS 67208-3052

Mailing address

4900 S. Monaco St
#210
Denver, CO 80237-3486
Phone (316) 962-7175

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100082610AMedicaidKS
100082610JMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2012.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1366478273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "316-962-7175",
            "fax_number": "316-962-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E. MURDOCK",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-962-7175",
            "fax_number": "316-962-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMMEL",
        "first_name": "BRUCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "19756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082610A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082610J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.