NPIMap

Individual provider Active NPI

Bridget C. Grover, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1851595201
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00926 Issued in KS
Practice address
2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone
(316) 858-2610
Fax
(316) 858-2793
NPI assigned
Jun 11, 2007
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00926 KS Primary
Emergency Medicine Physician 207P00000X 15-00926 KS

Addresses

Primary practice location

2610 N Woodlawn Blvd
Wichita, KS 67220-2729

Mailing address

2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 858-2610

Other identifiers 2

IdentifierTypeStateIssuer
200252120FMedicaidKS
200252120GMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001252 KS Practitioner - Physician Assistant 5496749038 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00926KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center, LLC Current Accepting new patients
Four Chambers Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Galichia Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Medical Specialties of Kansas, L.L.C. Past Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients
Emergency Services, PA Emergency Medicine Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medicalodges WichitaWichita, KS, CCN 175008 Skilled nursing facility Corporate Director Jun 1, 2025
Medicalodges DeweyDewey, OK, CCN 375150 Skilled nursing facility Corporate Director Jun 1, 2025
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility Corporate Director Jun 1, 2025
Medicalodges FrontenacFontenac, KS, CCN 175363 Skilled nursing facility Corporate Director Jun 1, 2025
Medicalodges GoddardGoddard, KS, CCN 175294 Skilled nursing facility Corporate Director
Managing Control - Governing Body		 Jun 1, 2025
Jun 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1851595201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-858-2610",
            "fax_number": "316-858-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-858-2610",
            "fax_number": "316-858-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "BRIDGET",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00926",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "15-00926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252120F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252120G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.