Kansas Pain Care Groupllc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KANSAS PAIN CARE GROUPLLC

Practice address

4817 E Douglas Ave
Suite 200
Wichita, KS 67218-1013

Phone

(316) 201-9358

Fax

(316) 201-9358

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley David Eck

Title

Authorized Official

Phone

(316) 201-9358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1396278941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 E DOUGLAS AVE",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181013",
            "telephone_number": "316-201-9358",
            "fax_number": "316-201-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 E DOUGLAS AVE",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181013",
            "telephone_number": "316-201-9358",
            "fax_number": "316-201-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PAIN CARE GROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "ECK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "316-201-9358"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas Nephrology Physicians, P.a. (Osteoporosis Detection Center)
• Kansas Neurological Consultants
• Kansas Orthopaedic Center, P.a.
• Kansas Orthopaedic Center, P.a.
• Kansas Orthopaedic Center, PA
• Kansas Pain Specialists PA
• Kansas Palliative Pharmacy, LLC
• Kansas Pathology Consultants, PA
• Kansas Pediatric Neurology Center LLC
• Kansas Pelvic Health and Wellness

• General Practice Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.