BRYAN L PHILLIPS (NPI# 1629076278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629076278 |
| Entity Type | Individual |
| Full Name | BRYAN L PHILLIPS |
| Credential | M.D. |
| Practice Address |
1600 Nw South Outer Rd Blue Springs MO 64015-2963 |
| Mailing Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
| Practice Telephone | 8165243223 |
| Practice Fax Number | 8165252697 |
| Mailing Telephone | 8165243223 |
| Mailing Fax Number | 8165252697 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 115527 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203882907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| 1568983922 | Bryan O Phillips | Physician Assistant | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-07-06 |
| 1083095608 | Bryan Michael Phillips | Massage Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-06-10 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1396826624 | Bryan R Phillips | Counselor | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1962459255 | Bryan S Phillips | Social Worker | 560 Meyerland Plaza Mall, Houston, TX 77096-1615 | 2006-05-30 |
| Street Address |
1600 NW SOUTH OUTER RD |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139503 | Anne Bennett | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2019-02-05 |
| 1215376314 | Kimberly Nicole Mcnerney | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2013-06-21 |
| 1528329083 | Andrew Charles Huss | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2012-05-31 |
| 1225335250 | Lee's Summit Physicians Group | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2011-02-28 |
| 1447425962 | Cynthia Marquelle Dean | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2008-04-25 |
| 1679566913 | Kelly R Fritz | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528656 | Children's Mercy-cockerell and Mcintosh Pediatrics, Inc | Pediatrics | 205 Nw R D Mize Rd Ste 304, Blue Springs, MO 64014-2520 | 2020-01-30 |
| 1740287549 | Charles Frederick Cockerell | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1528329083 | Andrew Charles Huss | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2012-05-31 |
| 1447425962 | Cynthia Marquelle Dean | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2008-04-25 |
| 1972706547 | Thomas Anthony Seck | Pediatrics | 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014-2515 | 2007-06-08 |
| 1588662282 | Stacey Leigh Sharpe | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1093713703 | Cindy L Kirby-diaz | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1730187402 | Michele C Mcintosh | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1942208624 | Mark Alan Mozer | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1982602678 | Joseph Roy Vanbiber | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.