NISHA BRUNSON DO
NPI 1073194304
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wichita, KS

Q: What is Nisha Brunson's NPI number?

The NPI number for Nisha Brunson is 1073194304. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Nisha Brunson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Brunson was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2021PECOS Enrolled

1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2635 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Apr 19, 2021 (2 updates tracked since 2021).

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About Nisha Brunson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA BRUNSON DO (NPI 1073194304) is an individual child & adolescent psychiatry provider in Wichita, Kansas, licensed in Kansas (94-11724) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1073194304

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameNISHA BRUNSONCredential: DO

Location Address1010 N KANSAS STWichita, KS 67214-3199

Mailing Address1010 N Kansas StWichita, KS 67214-3199 · (316) 293-2635

Phone(316) 293-2635

Sole ProprietorYes

Enumeration DateApril 19, 2021

Last NPPES UpdateJune 6, 20242 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1073194304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in KS · 94-11724

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1010 N KANSAS ST, Wichita, KS 67214

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Secondary Practice Location 1

Location 11005 Dr D. B. Todd Jr. Blvd.Nashville, TN 37208-3720 · Phone (615) 327-6350 · Fax (615) 327-6260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nisha Brunson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISAAC CLAYTON TALBERT MD

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