Active NPI
Bruce M. Bammel, MD
- Obstetrics & Gynecology Physician
- Wichita, KS
National Provider Identifier
1366478273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19756
- 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.
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- Neonatal-Perinatal Medicine Physician
- Wichita, KS
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- Obstetrics & Gynecology Physician
- Wichita, KS
- NPI 1528256112
Obstetrics & Gynecology
-
- Maternal & Fetal Medicine Physician
- Wichita, KS
- NPI 1922111202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19756 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients | |
| Wesley Physician Services LLC | Past | 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
- bruce.bammel@hca3.eclinicaldirectplus.com
- bruce.bammel@khindirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19756 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082610A | Medicaid | KS | |
| 100082610J | Medicaid | KS |
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.