Organization Active NPI

Purehealth Clinics PA, LLC

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1437488699
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PUREHEALTH CLINICS PA, LLC
Practice address
11400 W 135TH St
Overland Park, KS 66221
Phone
(913) 814-8800
Fax
(913) 948-9320
NPI assigned
Dec 17, 2009
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Bryan W Burns, MDNPI 1144273772
Title
Owner
Phone
(913) 814-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11400 W 135TH St
Overland Park, KS 66221

Mailing address

11400 W 135TH St
Overland Park, KS 66221
Phone (913) 814-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000490 KS Part B Supplier - Clinic/Group Practice 7618004805 Receives reassigned benefits from 8 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1437488699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-814-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-814-8800",
            "fax_number": "913-948-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREHEALTH CLINICS PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-814-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.