Individual provider Active NPI

Brandon Litzner, MD

  • Dermatopathology Physician
  • Wichita, KS
National Provider Identifier
1619297769
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
04-37591 Issued in KS
Practice address
9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone
(316) 612-1833
Fax
(316) 612-2420
NPI assigned
Jun 10, 2010
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-37591 KS
Dermatopathology Physician 207ND0900X 04-37591 KS Primary

Addresses

Primary practice location

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

9300 E 29th St N Ste 320
Wichita, KS 67226-2184
Phone (316) 500-3231

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706001397 KS Practitioner - Dermatology 8921310947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

9300 E 29TH St N BLDG
300 Suite 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1012
Removal or shaving of skin growth25
Skin biopsy176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-37591KSMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dermatology and Skin Cancer Center, PA Dermatology CurrentSince Apr 27, 2020 Accepting new patients
Scott E Manthei PC LTD PastSince Apr 26, 2020 Accepting new patients
Mid-Kansas Dermatology Clinic, PA Dermatology PastSince Apr 1, 2020 Accepting new patients
Manhattan Dermatology, PA PastSince Apr 21, 2021 Accepting new patients

Locations

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

155 W College Dr
Ste 1200
Concordia, KS 66901
Phone (785) 827-2500

2300 N 14th Ave
Ste 104
Dodge City, KS 67801
Phone (620) 225-7744

700 W Central Ave
Ste 103
El Dorado, KS 67042
Phone (316) 201-1755

2051 E Mary St
Garden City, KS 67846
Phone (620) 275-3777

1017 Jackson St
Ste C
Great Bend, KS 67530
Phone (620) 792-3666

2707 Vine St
Ste 10
Hays, KS 67601
Phone (785) 628-3231

4201 Anderson Ave
Ste F
Manhattan, KS 66503
Phone (785) 539-4645

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

1000 Hospital Dr
Ste 200
McPherson, KS 67460
Phone (620) 241-7033

1715 Medical Pkwy
Ste D-1
Newton, KS 67114
Phone (316) 612-1833

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

828 Elmhurst Blvd
Salina, KS 67401
Phone (785) 643-1176

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

711 Genn Dr
Wamego, KS 66547
Phone (785) 456-2295

10111 E 21st St N
Ste 305
Wichita, KS 67206
Phone (316) 305-9618

13213 W 21st Ct N
Wichita, KS 67235
Phone (316) 358-7110

1861 N Rock Rd
Ste 310
Wichita, KS 67206
Phone (316) 612-1833

9300 E 29th St N
Ste 310
Wichita, KS 67226
Phone (316) 612-1833

9300 E 29th St N
Ste 320
Wichita, KS 67226
Phone (316) 500-3231

Interoperability endpoints

  • Direct secure messaging: blitzner@heartlandderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1619297769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 E 29th St N Ste 320",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262184",
            "country_code": "US",
            "telephone_number": "316-500-3231",
            "fax_number": "316-223-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITZNER",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-37591",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "KS",
            "license": "04-37591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.