TERRANCE BRUNER (NPI# 1861472003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861472003 |
| Entity Type | Individual |
| Full Name | TERRANCE BRUNER |
| Credential | MD |
| Practice Address |
929 N Saint Francis St Wichita KS 67214-3821 |
| Mailing Address |
Po Box 880 Wichita KS 67201-0880 |
| Practice Telephone | 3162685438 |
| Practice Fax Number | 3166520340 |
| Mailing Telephone | 3166858428 |
| Mailing Fax Number | 3166520340 |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
04-28748 | KS | Allopathic & Osteopathic Physicians |
| X | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
04-28748 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 2220029506 | 01 | |
| KS | BCBS | 058736 | 01 |
| Street Address |
929 N SAINT FRANCIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609293 | Moin A Shaikh | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2005-06-15 |
| 1356808869 | Jason Allen Steimle | Registered Nurse | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-02-21 |
| 1497229462 | Thomas Ryan Ambrose | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-14 |
| 1992279939 | Keriann Shaw | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-13 |
| 1689147779 | Shelsea Lies | Occupational Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1518430602 | Jessica Domnick | Speech-Language Pathologist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1326522632 | Jennifer R Geisler | Physician Assistant | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-09-21 |
| 1649750654 | Edward Michael Asebedo | Radiology | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-19 |
| 1497234934 | Hospitalist Medicine Physicians of Kansas -tcg, LLC | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| 1295769057 | Fangyuan Fred Zhang | Pathology | 9300 E 29th St N Ste 208, Wichita, KS 67226-2183 | 2006-07-10 |
| 1366407215 | Pamela D Pierce | Pathology | 929 N St Frances, Wichita, KS 67214-3821 | 2006-04-20 |
| 1962000273 | Forward Pathology Solutions Wichita, LLC | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-09 |
| 1942696497 | Erik Dill | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-04-11 |
| 1215203039 | Daniel Ngoc Dang | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2012-03-26 |
| 1376869651 | Lidia S Manouilova | Pathology | 929 N St Francis, Wichita, KS 67214-3821 | 2010-04-12 |
| 1639315930 | Dwight Kahala Oxley IIi | Pathology | 550 N. Hillside, Pathology Department, Wichita, KS 67214-4910 | 2008-12-17 |
| 1730348624 | Christopher M. Fox | Pathology | 5500 E Kellogg Dr, Room 122a-34, Wichita, KS 67218-1607 | 2008-06-05 |
| 1245422963 | Kristin Therese Galan | Pathology | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2007-08-16 |
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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.