DR. BRIAN BONDURANT (NPI# 1336566488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336566488 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BONDURANT |
| Credential | MD |
| Practice Address |
211 E Main St Carbondale KS 66414-9607 |
| Practice Telephone | 7858367111 |
| Practice Fax Number | 7858369251 |
| Mailing Telephone | 7858367111 |
| Mailing Fax Number | 7858369251 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-39782 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
211 E MAIN ST |
| City | CARBONDALE |
| State | KS |
| Zip Code | 66414-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164477964 | Gerald W Marcell | Family Medicine | 211 E Main St, Carbondale, KS 66414-9607 | 2006-05-23 |
| 1043608920 | Katy A Black | Nurse Practitioner | 211 E Main St, Carbondale, KS 66414-9607 | 2014-12-31 |
| 1295775922 | David J Penn | Family Medicine | 211 E Main St, Carbondale, KS 66414-9607 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235332628 | Osage County Chiropractic, P.a. | Chiropractor | 119 Main St Box 329, Carbondale, KS 66414 | 2007-06-06 |
| 1790914190 | Santa Fe Trail Usd 434 | Local Education Agency (LEA) | 1663 E Us Highway 56, Carbondale, KS 66414-9178 | 2009-07-07 |
| 1376871939 | Sweet Country Homes, Inc. | Assisted Living Facility | 13450 S Topeka Ave, Carbondale, KS 66414-9301 | 2009-11-19 |
| 1982607479 | Monte Keith Kuder | Chiropractor | 119 Main St, Carbondale, KS 66414-9628 | 2005-05-27 |
| 1487002028 | Corey Devin Wells | Chiropractor | 119 Main St, Carbondale, KS 66414-9628 | 2016-05-24 |
| 1710363197 | Kelli Robinson | Physical Therapy Assistant | 119 Main St, Carbondale, KS 66414-9628 | 2015-08-07 |
| 1639484744 | Heather Lynn Kuder | Physical Therapy Assistant | 119 Main St, Carbondale, KS 66414-9628 | 2010-08-12 |
| 1265637813 | Paula Ann Cobb | Physical Therapist | 119 Main St, Carbondale, KS 66414-9628 | 2007-06-15 |
| 1902289085 | Alternative Solutions | Respite Care | 611 4th Street Ter, Carbondale, KS 66414-9663 | 2015-07-07 |
| 1598391484 | Jourdan Nikole Prehn | Nurse Practitioner | 211 Main St, Carbondale, KS 66414-9714 | 2020-03-23 |
| Find all providers in zip 66414 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502570 | Zubin Wala | Family Medicine | 300 W Oak St Ste 200, Carbondale, IL 62901-1400 | 2020-06-08 |
| 1023490950 | Kowsika Movva | Family Medicine | 207 W Jackson St Ste 102, Carbondale, IL 62901-1408 | 2015-06-27 |
| 1710392428 | Andrew John Hossler | Family Medicine | 207 W Jackson St Ste 101, Carbondale, IL 62901-1408 | 2014-06-23 |
| 1487833091 | Sarah Hasek, Md, LLC | Family Medicine | 207 W Jackson St Ste 202, Carbondale, IL 62901-1408 | 2007-10-31 |
| 1770635062 | Deedra Gail Mclain | Family Medicine | 300 W Oak St, Carbondale, IL 62901-1400 | 2007-01-17 |
| 1710034236 | Anna Gabriela Konicek | Family Medicine | 151 Summit Dr, Carbondale, CO 81623-8747 | 2007-01-05 |
| 1295801835 | Kimball John Spence | Family Medicine | 1340 Hwy 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1659447290 | Gary D Knaus | Family Medicine | 1340 Highway 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1366526600 | Paul A Bennett | Family Medicine | 374 E. Grand Ave, Carbondale, IL 62901 | 2006-10-24 |
| 1285723635 | Roger D Jones | Family Medicine | 207 W Jackson Ste 102, Carbondale, IL 62901 | 2006-10-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 66414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.