Brungardt, Gerard S

Brungardt, Gerard S is an individual health care provider with primary practice located at 8533 E 32Nd St N , Wichita KS 67226-2611. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brungardt, Gerard S can be contacted via phone (316) 293-2622.

Contact Information

Primary practice address
8533 E 32Nd St N Wichita KS 67226-2611
Phone: (316) 293-2622
Fax: (855) 517-9494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 04-20542 Kansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 04-20542 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-20542 Kansas

Profile Details

NPI number 1457382764
LBN Legal business name Brungardt, Gerard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457382764 NPPES
Kansas MEDICAID 30004372270003

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