Provider Demographics
NPI:1891765194
Name:MAJHER, BRADFORD D (OD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:D
Last Name:MAJHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10531 E 21ST ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3582
Mailing Address - Country:US
Mailing Address - Phone:316-686-6063
Mailing Address - Fax:316-686-4214
Practice Address - Street 1:10531 E 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3582
Practice Address - Country:US
Practice Address - Phone:316-686-6063
Practice Address - Fax:316-686-4214
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100400290AMedicaid
KS463169Medicaid
KSCOVENTRY-LOC#2Other279406
KS13590OtherPPK
KSCOVENTRY-LOC#1Other279431
KSCOVENTRY-LOC#1Other279431
KS13590OtherPPK
KS463169Medicaid
KSCOVENTRY-LOC#2Other279406