NPI 1790787380 · live from the CMS NPI Registry
Bryan L Black, MD
Anesthesiology in Wichita, KS. National Provider Identifier 1790787380, active.
NPI record
| NPI | 1790787380 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 8080 E Central Ave, Ste 250, Wichita, KS 67206 |
| Practice phone | 316-686-7327 |
| Enumerated | August 12, 2005 |
| Last updated | June 16, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 04-21429 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.