Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marlon S Bazan, PA-C

Individual provider Medical Physician Assistant · NPI 1306329438

Marlon S Bazan, PA-C is a Physician Assistant in Liberal, Kansas. Qualified in 2018, 8 years ago. Practices with Sound Physicians of Wyoming LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

315 W 15th St
Liberal, KS 67901-2455
Phone: (620) 629-6477
Fax: (620) 629-6651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1502129 (KS)

Record details

NPI number1306329438
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2018
Last updated in NPPESSeptember 14, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sound Physicians Of Wyoming Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Liberal