David L Bohlender, MD
Individual provider Active NPI Emergency Medicine Physician · Newton, KS
NPI 1699880468 · NPPES record last updated Apr 4, 2022
Key facts
- NPI
- 1699880468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0424113 (KS)
- Practice address
- 301 N Main St
Suite 300
Newton, KS 67114-3444 - Phone
- (316) 282-9614
- Fax
- (316) 284-9602
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Nebraska College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas Medical Center LLC
Rock Regional Hospital LLC
Practice addresses (Care Compare)
1124 W 21St St
Emergency Medicine
Andover, KS 67002-5500
Phone (316) 300-4911
3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400
Hospital & facility affiliations
- Kansas Medical Center LLC
- Rock Regional Hospital, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000918 | KS | Practitioner - Emergency Medicine |
6901841428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0424113 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Regional Hospital, LLC | Current |
Accepting new patients | |
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
| Pratt Family Practice LLC | Past | Accepting new patients |
Locations
3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400
Interoperability endpoints
- davidbohlender@neosho.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0424113 | KS | |
| Emergency Medicine Physician | 207P00000X | 0424113 | KS | Yes |
Addresses
Primary practice location
301 N Main St
Suite 300
Newton, KS 67114-3444
Mailing address
629 S. Plummer Ave.
P. O. Box 426
Chanute, KS 66720-0426
Phone (620) 431-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100165940C | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | davidbohlender@Neosho.CernerDirect.com | Direct |
Other providers in Newton, KS
- Joanna Christine Bjerum
- Rachel Lynn Bloedel
- Erin Boccia
- Megan A Boers
- Paul F Bogner
- Timothy J Bolen
- Linda Tellez Boone
- Hannah Bradley
- Kent R Bradley
- Carol E Brehm
All providers in Newton, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.