Individual provider Active NPI

Brian K Unruh, PA

  • Physician Assistant
  • Colby, KS
National Provider Identifier
1851493472
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500644 Issued in KS
Practice address
310 E College Dr
Colby, KS 67701-3716
Phone
(785) 462-6184
Fax
(785) 460-1490
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500644 KS Primary

Addresses

Primary practice location

310 E College Dr
Colby, KS 67701-3716

Mailing address

310 E College Dr
Colby, KS 67701-3716
Phone (785) 462-6184

Other identifiers 2

IdentifierTypeStateIssuer
100344760AMedicaidKS
15-00644OtherKSKANSAS LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000739 KS Practitioner - Physician Assistant 5890774608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center IncGroup PAC ID 8729996467, 30 clinicians

Practice addresses (Care Compare)

100 E College Dr
Colby, KS 67701-3799
Phone (785) 462-7511

Hospital & facility affiliations

  • L & C Home Health Agency Inc Home health agency, Colby, KS, CCN 178055
  • Citizens Medical Center Hospital, Colby, KS, CCN 171362
  • Logan County Hospital Hospital, Oakley, KS, CCN 171326
  • Rawlins County Health Center Hospital, Atwood, KS, CCN 171307
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Goodland Regional Medical Center Hospital, Goodland, KS, CCN 171370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500644KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center, Inc. Current Accepting new patients
Citizens Medical Center, Inc CurrentSince Nov 22, 2010 Accepting new patients
Victor H. Hildyard II, MD Current Accepting new patients
Medical Arts Diagnostic Center, LLC Past Accepting new patients
Citizens Medical Center, Inc. Past Accepting new patients

Locations

175 S Range Ave
Colby, KS 67701
Phone (785) 460-2957

175 S Range Ave
Ste 2
Colby, KS 67701
Phone (785) 462-3332

310 E College Dr
Colby, KS 67701
Phone (785) 462-6184

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

Interoperability endpoints

  • Direct secure messaging: brian.unruh@khindirect.org
  • Direct secure messaging: bunruh661499@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1851493472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184",
            "fax_number": "785-460-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184",
            "fax_number": "785-460-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100344760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "15-00644",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.