MEDICARE: DR. ALAN E BAUMAN 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
1	207W00000X	Ophthalmology Physician	MO-R7F23	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12589060	OTHER	MO	BCBS-CC LOCATION
2	12589090	OTHER	MO	BCBS- SL LOCATION
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629018247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN E BAUMAN M.D.

Provider Business Mailing Address
First Line	:	7701 STATE LINE RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1635
Country	:	US
Telephone Number	:	816-444-2900
Fax Number	:	816-444-3304

Provider Business Practice Location Address
First Line	:	7701 STATE LINE RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1635
Country	:	US
Telephone Number	:	816-444-2900
Fax Number	:	816-444-3304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/03/2015

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