Glenn Darrell Bauman, DC
Individual provider Active NPI Chiropractor · Garnett, KS
NPI 1801901491 · NPPES record last updated Sep 28, 2012
Key facts
- NPI
- 1801901491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104979 (KS)
- Practice address
- 519 S Maple
Garnett, KS 66032-1427 - Phone
- (785) 448-2422
- Fax
- (785) 448-2427
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104979 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104979 | KS | Yes |
Addresses
Primary practice location
519 S Maple
Garnett, KS 66032-1427
Mailing address
519 S Maple
Garnett, KS 66032-1427
Phone (785) 448-2422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005674 | Other | KS | AETNA |
| 062219 | Other | KS | BCBS |
Other providers in Garnett, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.