Bryana Manley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106

Phone

(316) 219-8299

Fax

(316) 219-5899

NPI assigned

May 9, 2012

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Female

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 2

Other names 1

• Brie Bohm Other name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan B. Allen Memorial Hospital

  • General Practice Physician
  • El Dorado, KS
  • NPI 1164554820
  Medicare reassignment Care Compare group NPD
• Kansas Joint & Spine Specialists, LLC

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1265479059
  Medicare reassignment
• Susan B. Allen Memorial Hospital

  dba SBA Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • El Dorado, KS
  • NPI 1124594957
  NPD
• Susan B. Allen Memorial Hospital

  dba SBA Medical Group - Augusta

  • Family Medicine Physician
  • Augusta, KS
  • NPI 1922520832
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1417216508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "316-219-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "316-219-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "BRYANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1106895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSBHA PA FEDERAL ACTIVE LICENSE",
            "identifier": "15-01551",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIE",
            "last_name": "BOHM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dawn Mangrum
• Kali Mangrum
• Amy Lynn Maninger, LMSW
• Deidre A Manis, LSCSW LCAC
• Carleen Maniscalco
• Allison Mann
• Jami L Mann, PA
• John Bryan Mann, MD
• Martha Mann, OTR
• Michael Lee Mann

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.