Active NPI
C Wilson Wesbrook, MD
- Obstetrics Physician
- Wichita, KS
National Provider Identifier
1417966680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 16239
- Practice address
- 3311 E Murdock St
Wichita, KS 67208-3054 - Phone
- (316) 689-9234
- Fax
- (316) 689-9720
- NPI assigned
- Aug 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 16239 | KS | Primary |
Addresses
Primary practice location
3311 E Murdock St
Wichita, KS 67208-3054
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018804 | Other | KS | BCBS |
| 200162 | Other | KS | HPK |
| 12149416 | Other | KS | MULTIPLAN |
| 16930 | Other | KS | COVENTRY |
| 1001 | Other | KS | PHS |
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 |
|---|---|---|---|
| 16239 | KS | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Christi Regional Medical Center Inc | Obstetrics | Past | Accepting new patients |
| Wesley Medical Center LLC | Past | Accepting new patients | |
| Via Christi Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neonatal-Perinatal Medicine Physician
- Wichita, KS
- NPI 1912993148
-
- Obstetrics & Gynecology Physician
- Wichita, KS
- NPI 1528256112
-
- Pediatrics Physician
- Wichita, KS
- NPI 1467409185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1417966680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8035",
"city": "WICHITA",
"state": "KS",
"postal_code": "672080035",
"telephone_number": "316-689-9135",
"fax_number": "316-689-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 E MURDOCK ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083054",
"telephone_number": "316-689-9234",
"fax_number": "316-689-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESBROOK",
"first_name": "C",
"middle_name": "WILSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-06",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "KS",
"license": "16239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "018804",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPK",
"identifier": "200162",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12149416",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "16930",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "1001",
"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 Jul 16, 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.