Bryan Keith Broddle, CRNA | |
2610 N. Woodlawn, Wichita, KS 67220-2729 | |
(316) 685-6236 | |
(316) 858-2793 |
Full Name | Bryan Keith Broddle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 2610 N. Woodlawn, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548496714 | NPI | - | NPPES |
P00795820 | Other | KS | RR MEDICARE GROUP CQ2302 |
200622590A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1379895032 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 556905 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wesley Medical Center | Wichita, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wichita Anesthesiology Chartered | 4587577796 | 66 |
Entity Name | Wichita Anesthesiology Chartered |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407848450 PECOS PAC ID: 4587577796 Enrollment ID: O20031112000357 |
Mailing Address | Practice Location Address |
---|---|
Bryan Keith Broddle, CRNA Po Box 3374, Wichita, KS 67201-3374 Ph: (913) 642-4900 | Bryan Keith Broddle, CRNA 2610 N. Woodlawn, Wichita, KS 67220-2729 Ph: (316) 685-6236 |
Jaysa L Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Suite 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-858-1556 | |
George Findley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-461-4497 Fax: 316-686-1557 | |
Jill C Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8330 E Overbrook St, Wichita, KS 67206 Phone: 316-644-1193 | |
Janet L Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3450 N Rock Rd Ste 208, Wichita, KS 67226 Phone: 316-685-6091 | |
Seth Claassen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 | |
Wade Frederick Winter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 Fax: 316-291-4272 | |
Mr. Brian Lee Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6615 Briarwood Cir, Wichita, KS 67212 Phone: 316-729-4474 Fax: 316-729-4474 |