DR. DAVID BRAKE (NPI# 1386643914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386643914 |
| Entity Type | Individual |
| Full Name | DR. DAVID BRAKE |
| Credential | MD |
| Practice Address |
551 N Hillside St Suite 320 Wichita KS 67214-4923 |
| Practice Telephone | 3166851367 |
| Mailing Telephone | 3166851367 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0415927 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
551 N HILLSIDE ST SUITE 320 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
| 1861857310 | Rachel L Stiger | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2015-12-29 |
| 1134503840 | Heartland Cardiology, LLC | Internal Medicine | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2015-07-13 |
| 1598148066 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-07-02 |
| 1154703197 | Wichita Radiological Group Prof Assoc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 551 N Hillside St, Suite 320, Wichita, KS 67214-4923 | 2015-06-26 |
| 1417336280 | Michelle L Cortese | Physical Therapist | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-05-26 |
| 1063813418 | Amy Sharp | Nurse Practitioner | 551 N Hillside St, Suite #410, Wichita, KS 67214-4923 | 2014-09-04 |
| 1538585831 | Kansas Sleep Medicine, LLC | Durable Medical Equipment & Medical Supplies | 551 N Hillside St, Ste 320, Wichita, KS 67214-4923 | 2014-03-11 |
| 1609292168 | Erica Combs | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2014-03-07 |
| 1437587664 | Lab One LLC | Clinical Medical Laboratory | 551 N Hillside St, Ste 510, Wichita, KS 67214-4928 | 2013-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
| 1760627616 | Gdx, P.a. | Radiology | 6120 Shadybrook St, Wichita, KS 67208-1862 | 2008-12-06 |
| 1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
| 1629162326 | Great Plains Imaging, LLC | Radiology | 8925 W Maple St, Wichita, KS 67209-1462 | 2006-10-03 |
| 1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
| 1376507590 | Line Diagnostics Inc | Radiology | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-04-14 |
| 1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
| 1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
| 1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
| 1255894580 | Jimmy Rong | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-12 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.