DR. BRIAN ROBERT CARPENTER

Address: 1300 Broadway, Marysville, KS 66508-1821
Phone: 7855625111

DR. BRIAN ROBERT CARPENTER (NPI# 1073703278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073703278
Entity Type 1 - Individual
Full Name DR. BRIAN ROBERT CARPENTER
Credential O.D.
Practice Address 1300 Broadway
Marysville
KS 66508-1821
Mailing Address 2800 Sw Wanamaker Rd
Suite 192
Topeka
KS 66614-4293
Practice Telephone 7855625111
Practice Fax Number 7855621050
Mailing Telephone 7852720707
Mailing Fax Number 7852711512
Enumeration Date 07/25/2007
Last Update Date 06/24/2010
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1767 KS Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200569190A 05
KS BLUE CROSS BLUE SHIELD OF KS 651179 01

Office Location

Street Address 1300 BROADWAY
City MARYSVILLE
State KS
Zip Code 66508-1821

Providers with the same location

NPI Name Address
1083682132 DRS PRICE YOUNG ODLE & HORSCH PA 1300 Broadway, Marysville, KS 66508-1821

Competitor

Search similar physicians

City MARYSVILLE
Zip Code 66508

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Dataset Information

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.