MEDICARE: THOMAS F BEMBYNISTA DPM

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	213E00000X	Podiatrist	MISSOURI484	MO
2	213E00000X	Podiatrist	196	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A645708E	OTHER	KS	MEDICARE KS
2	A645708A	OTHER	MO	MEDICARE MO

General Provider Information

NPI Number	:	1902084122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS F BEMBYNISTA DPM

Provider Business Mailing Address
First Line	:	PO BOX 25601
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66225-5601
Country	:	US
Telephone Number	:	816-461-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	8530 N GREEN HILLS RD STE A
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-1403
Country	:	US
Telephone Number	:	816-461-7755
Fax Number	:

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

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	03/07/2025

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Directions to “ THOMAS F BEMBYNISTA DPM” Practice Location

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