Moore, Bradley Todd

Moore, Bradley Todd is an individual health care provider with primary practice located at 4320 Wornall Rd Ste 530, Kansas City MO 64111-5941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Bradley Todd can be contacted via phone (816) 932-2836.

Contact Information

Primary practice address
4320 Wornall Rd Ste 530 Kansas City MO 64111-5941
Phone: (816) 932-2836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 113158 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 0429748 Kansas

Profile Details

NPI number 1922047646
LBN Legal business name Moore, Bradley Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 5th, 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 1922047646 NPPES
Missouri MEDICAID 1922047646

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