Dyer, Bradley R

Dyer, Bradley R is an individual health care provider with primary practice located at 5325 Faraon St Ms 1020 Division Of General And Geriatric Medicine Univ, Saint Joseph MO 64506-3488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Dyer, Bradley R can be contacted via phone (816) 271-6406.

Contact Information

Primary practice address
5325 Faraon St Ms 1020 Division Of General And Geriatric Medicine Univ Saint Joseph MO 64506-3488
Phone: (816) 271-6406
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015000100 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 05-35676 Kansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015000100 Missouri

Profile Details

NPI number 1023214509
LBN Legal business name Dyer, Bradley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Oct 19th, 2017 - about 7 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 1023214509 NPPES
Missouri MEDICAID 1023214509
Missouri MEDICAID 200865660C
Missouri Other P01434619

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