Provider Demographics
NPI:1710141965
Name:DUNBAR, BRETT DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:DANIEL
Last Name:DUNBAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MT CARMEL WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-7587
Mailing Address - Country:US
Mailing Address - Phone:620-235-7605
Mailing Address - Fax:620-235-7609
Practice Address - Street 1:1 MED CENTER CIR
Practice Address - Street 2:STE. A
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6740
Practice Address - Country:US
Practice Address - Phone:620-235-7605
Practice Address - Fax:620-235-7609
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-36326208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201074410AMedicaid
OK200493530AMedicaid