Brady, Mark D.

Brady, Mark D. is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brady, Mark D. can be contacted via phone (913) 632-2230.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2000147641 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-24346 Kansas

Profile Details

NPI number 1134195217
LBN Legal business name Brady, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134195217 NPPES
Kansas Other 50066370 RR MEDICARE
Kansas MEDICAID 100153150D RR MEDICARE
Kansas MEDICAID 203948310 RR MEDICARE

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