Individual provider Active NPI

Bernard F Hearon, M.D.

  • Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1467429019
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-25213 Issued in KS
Practice address
2778 N Webb Rd
Wichita, KS 67226-8112
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Mar 2, 2006
Last updated
Dec 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-25213 KS Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 04-25213 KS
Orthopaedic Hand Surgery Physician 207XS0106X 04-25213 KS

Addresses

Primary practice location

2778 N Webb Rd
Wichita, KS 67226-8112

Mailing address

2778 N Webb Rd
Wichita, KS 67226-8112
Phone (316) 631-1600

Other identifiers 1

IdentifierTypeStateIssuer
100161290CMedicaidKS

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

LicenseStateTypeSpecialty
04-25213KSMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1467429019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARON",
        "first_name": "BERNARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-25213",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "KS",
            "license": "04-25213",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "KS",
            "license": "04-25213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161290C",
            "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 Dec 30, 2010; 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.