Healthcare Provider Details

I. General information

NPI: 1851571491
Provider Name (Legal Business Name): BART J WINTER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22ND MEDICAL GROUP 57950 LEAVENWORTH STREET
MCCONNELL AIR FORCE BASE KS
67221-3506
US

IV. Provider business mailing address

57950 LEAVENWORTH ST BLDG 250
MCCONNELL AFB KS
67221-3505
US

V. Phone/Fax

Practice location:
  • Phone: 316-759-2029
  • Fax: 316-759-6277
Mailing address:
  • Phone: 316-759-2029
  • Fax: 316-759-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-32868
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: