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NPI Code Detail

MEDICARE: BRADLEY W. BRUNER M.D.

MEDICARE: BRADLEY W. BRUNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician04-23086KS
2207X00000XOrthopaedic Surgery Physician0423086KS

General Provider Information

NPI Number : 1548208176
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY W. BRUNER M.D.
Provider Business Mailing Address
First Line : 10100 E SHANNON WOODS CIR STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67226-4106
Country : US
Telephone Number : 316-219-8299
Fax Number : 855-587-4501
Provider Business Practice Location Address
First Line : 10100 E SHANNON WOODS ST
Second Line : SUITE 100
City : WICHITA
State : KS
Zip : 67226-4104
Country : US
Telephone Number : 316-219-8299
Fax Number : 316-219-5899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 03/17/2026

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Directions to “ BRADLEY W. BRUNER M.D.” Practice Location

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