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Contact Information

JOHN S BRADLEY, DO
9100 W 74TH ST
SHAWNEE, KS66204-4004
 Phone: 913-676-2214
 Fax: 913-789-3106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN S BRADLEY · (Male)

NPI Number 1801018536
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2007
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 32784
  • KS Medicaid 200564180A
  • KS Medicaid 200564180B
  • MO Medicaid 1801018536
  • Other 40359028 BCBS KCMO ER PHYSICIANS SOUTH PA GROUP 30492021
  • Other 40359018 BCBS KCMO SMMC EMERGENCY PHYSICIANS GROUP 01674018
  • KS Other P00635002 RR MEDICARE GROUP CG8899
  • KS Other P00681220 RR MEDICARE NUMBER FOR GROUP DC6712
Hospital affiliation(s) Not Available
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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