Provider Demographics
NPI:1285638064
Name:STRANGE, BRIAN H (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:H
Last Name:STRANGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1851 N WEBB RD
Mailing Address - Street 2:ATTN FLR2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3413
Mailing Address - Country:US
Mailing Address - Phone:316-636-2010
Mailing Address - Fax:316-858-3830
Practice Address - Street 1:2701 N MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-3480
Practice Address - Country:US
Practice Address - Phone:620-663-8700
Practice Address - Fax:620-663-8713
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-24910207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100149390CMedicaid
KSP00282106OtherRAILROAD MEDICARE
KS100149390CMedicaid
KS053029Medicare PIN