Condon, Bradley J

Condon, Bradley J is an individual health care provider with primary practice located at 100 Ne Saint Lukes Blvd , Lees Summit MO 64086-6000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Condon, Bradley J can be contacted via phone (816) 347-5097.

Contact Information

Primary practice address
100 Ne Saint Lukes Blvd Lees Summit MO 64086-6000
Phone: (816) 347-5097
Fax: (816) 347-5045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-29441 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 04-29441 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2003009757 Missouri

Profile Details

NPI number 1174623540
LBN Legal business name Condon, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 18th, 2021 - 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 1174623540 NPPES
Kansas MEDICAID 200005950A
Kansas Other 456741
Kansas Other 33270024
Kansas MEDICAID 209028711
Kansas Other P01207986

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