Provider Demographics
NPI:1497933626
Name:BAMBER, NORMAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:I
Last Name:BAMBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:930 CARONDELET DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4855
Mailing Address - Country:US
Mailing Address - Phone:816-943-7733
Mailing Address - Fax:816-943-7744
Practice Address - Street 1:930 CARONDELET DR
Practice Address - Street 2:SUITE 300
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4855
Practice Address - Country:US
Practice Address - Phone:816-943-7733
Practice Address - Fax:816-943-7744
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32875207T00000X
MO2008002393207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1155002Medicare PIN
P00652669OtherRR MEDICARE
MOW73000001Medicare PIN