Healthcare Provider Details

I. General information

NPI: 1700721438
Provider Name (Legal Business Name): BRYDEN SCHMIDT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5548 N GRAY DR
PARK CITY KS
67219-6600
US

IV. Provider business mailing address

231 FIELDSTONE ST
VALLEY CENTER KS
67147-9432
US

V. Phone/Fax

Practice location:
  • Phone: 316-993-5122
  • Fax:
Mailing address:
  • Phone: 316-993-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-04193
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: