Healthcare Provider Details

I. General information

NPI: 1801548706
Provider Name (Legal Business Name): BRANDI BUGG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRANDI BROWN

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SW 29TH ST
TOPEKA KS
66611-1887
US

IV. Provider business mailing address

2300 SW 29TH ST STE 100
TOPEKA KS
66611-1734
US

V. Phone/Fax

Practice location:
  • Phone: 785-806-8663
  • Fax:
Mailing address:
  • Phone: 785-806-8663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13079
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: