Healthcare Provider Details

I. General information

NPI: 1497933626
Provider Name (Legal Business Name): NORMAN I BAMBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 COLLEGE BLVD
OVERLAND PARK KS
66211-1621
US

IV. Provider business mailing address

5340 COLLEGE BLVD
OVERLAND PARK KS
66211-1621
US

V. Phone/Fax

Practice location:
  • Phone: 816-942-0200
  • Fax: 913-942-0205
Mailing address:
  • Phone: 816-942-0200
  • Fax: 913-942-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number04-32875
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number2008002393
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: