National Provider Identifier Database

BRETT R HAILEY
Emergency Medical Services

Contact Information

BRETT R HAILEY
9100 W 74TH ST
SHAWNEE, KS  66204-4004
Phone: 913-676-2214
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medical Services 207PE0004X
Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for BRETT R HAILEY

NPI Number 1063411916
Credentials
Entity Individual
Enumeration date 07/21/2005
Last updated 06/30/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 115613
  • MO License #: MD115613
  • KS Medicaid: 100403970A
  • KS Medicaid: 100403970B
  • KS Medicaid: 100403970C
  • MO Medicaid: 204743017
  • Other: 27361039 BLUE CROSS BLUE SHIELD
  • KS Other: 27361059 BCBS OF KC MO GROUP # 30492021 ER PHYSICIANS SOUTH PA
  • KS Other: 27361069 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
  • KS Other: P00651782 RR MEDICARE GROUP CG8899
  • KS Other: P00721307 RR MEDICARE GROUP DC6712
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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