BRANDI L BOLLER (NPI# 1528034683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528034683 |
| Entity Type | Individual |
| Full Name | BRANDI L BOLLER |
| Credential | DO |
| Practice Address |
11 W Parkway Blvd Liberal KS 67901-2081 |
| Practice Telephone | 6206240142 |
| Practice Fax Number | 6206242660 |
| Mailing Telephone | 6206240142 |
| Mailing Fax Number | 6206242660 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31584 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS/BLUE SHIELD | 103827 | 01 |
| Street Address |
11 W PARKWAY BLVD |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689967317 | Doctors Office LLC | Clinic/Center | 11 W Parkway Blvd, Liberal, KS 67901-2081 | 2011-05-27 |
| 1215034533 | Fry Eye Associates Pa | Optometrist | 11 W Parkway Blvd, Liberal, KS 67901-2081 | 2006-09-20 |
| 1306809371 | Mark Vernon Garbutt | Ophthalmology | 11 W Parkway Blvd, Liberal, KS 67901-2081 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| 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 |
|---|---|---|---|---|
| 1215436696 | Family Health and Wellness Clinic, LLC | Family Medicine | 148 S Main, Liberal, MO 64762-0000 | 2018-02-12 |
| 1972615649 | Rodd Galt Stockwell | Family Medicine | 2330 Kansas Ave, Suite 1, Liberal, KS 67901 | 2006-08-31 |
| 1427092600 | Lakshmanaraju Sidda Raju | Family Medicine | 2 Rock Island Rd, Liberal, KS 67901-3760 | 2006-06-16 |
| 1558314989 | Juvenal T. Jabel | Family Medicine | 400 Canna Ln, Liberal, KS 67901-4915 | 2006-05-18 |
| 1649276924 | Robert R Jones | Family Medicine | 148 S Main St, Liberal, MO 64762-9314 | 2005-06-22 |
| 1750770103 | United Methodist Western Kansas Mexican American Ministries, Inc. | Family Medicine | 121 W 3rd St, Liberal, KS 67901-3218 | 2015-01-22 |
| 1821351487 | Van Tuong Trinh | Family Medicine | 555 W 15th St, Ste A, Liberal, KS 67901-2467 | 2012-06-19 |
| 1700148442 | Liberal Family Medicine, LLC | Family Medicine | 305 W 15th St, Suite 103, Liberal, KS 67901 | 2012-06-08 |
| 1710261961 | Rama Krishna Reddy Chanda | Family Medicine | 315 W 15th St, Liberal, KS 67901-2455 | 2011-10-06 |
| 1669762167 | Rohitha Inturi | Family Medicine | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2011-04-18 |
| Find all providers in LIBERAL | ||||
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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.