BURTRAM J ODENHEIMER MD NPI 1053348680

NPI Information

NPI: 1053348680
Provider Name: BURTRAM J ODENHEIMER, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
3311 E MURDOCK ST
WICHITA, KS
ZIP 67208
Phone: (316) 689-9137
Get Directions

Burtram J Odenheimer, MD is a neurology psychiatry neurology in Wichita, KS. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Burtram J Odenheimer, MD NPI is 1053348680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3311 E MURDOCK ST
WICHITA, KS
ZIP 67208-054
Phone: (316) 689-9137
Fax: (316) 689-9659

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	17051	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001925	OTHER	KANSAS	BCBS
2	690	OTHER	KANSAS	PHS
3	B68633	MEDICARE UPIN
4	200140	OTHER	KANSAS	HPK
5	001925	MEDICARE ID-TYPE UNSPECIFIED	KANSAS
6	16913	OTHER	KANSAS	COVENTRY
7	12149473	OTHER	KANSAS	MULTIPLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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