BRADLEY TODD MOORE (NPI# 1922047646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922047646 |
| Entity Type | Individual |
| Full Name | BRADLEY TODD MOORE |
| Credential | MD |
| Practice Address |
4320 Wornall Rd Ste 530 Kansas City MO 64111-5941 |
| Mailing Address |
901 E 104th St Mailstop 400 Kansas City MO 64131-4517 |
| Practice Telephone | 8169322836 |
| Mailing Telephone | 8165028755 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 113158 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0429748 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1922047646 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295963783 | Bradley J Moore | Urology | 901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, MO 64506 | 2009-06-23 |
| 1699744847 | Bradley Bancroft Moore | Obstetrics & Gynecology | 9 Dunwoody Park, Suite 108, Atlanta, GA 30338-7407 | 2006-03-17 |
| 1629062807 | Bradley T Moore | Family Medicine | 100 Airport Gardens Rd, Hazard, KY 41701-9529 | 2005-09-02 |
| 1336528470 | Bradley Christopher Moore | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-05-21 |
| 1427480573 | Bradley Kent Moore | Physical Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2232 | 2013-07-31 |
| 1346514692 | Bradley J. Moore | Physician Assistant | 1926 Alcoa Hwy, Bldg. F, Suite 210, Knoxville, TN 37920-1545 | 2012-03-05 |
| 1588975296 | Bradley Allen Moore Jr. | Internal Medicine | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2010-06-28 |
| 1346429750 | Bradley Dale Moore | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-11-01 |
| 1417151325 | Bradley Allen Moore | Physical Therapist | 9000 Executive Park Dr, Suite A-205, Knoxville, TN 37923-4685 | 2007-06-13 |
| Street Address |
4320 WORNALL RD STE 530 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
| 1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
| 1992256069 | Jackie Wallman | Occupational Therapist | 4320 Wornall Rd, Suite 600, Kansas City, MO 64111-5941 | 2016-10-24 |
| 1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
| 1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
| 1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
| 1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
| 1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
| 1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
| 1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1184910028 | Elizabeth Catherine Butler | Surgery | 5820 Nw Barry Rd Ste 300, Kansas City, MO 64154-2578 | 2011-06-20 |
| 1629256235 | Saint Luke's Hospital Physician Billing Services, LLC | Surgery | 4323 Wornall Road, Peet Center Level 3, Kansas City, MO 64111 | 2008-02-06 |
| 1326259623 | Joshua Matthew Varghise Mammen | Surgery | 3901 Rainbow Blvd 4000 Murphy, University of Kansas Medical Center, Department of Surg, Kansas City, KS 66103-2937 | 2007-05-25 |
| 1033141635 | Karthik Vamanan | Surgery | 4320 Wornall Rd Ste 50, Kansas City, MO 64111-5943 | 2006-07-06 |
| 1437185543 | Robert J Kenney Jr. | Surgery | 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 | 2006-06-23 |
| 1912951518 | Surgical Consultants of Kansas City, P C | Surgery | 1010 Carondelet Dr Ste 114, Kansas City, MO 64114-4821 | 2006-05-19 |
| 1780243741 | Brian Cummiskey | Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-06-12 |
| 1922663988 | Gabrielle Rico | Surgery | 1750 Independence Ave, Kansas City, MO 64106-1453 | 2019-05-06 |
| 1376004945 | Derek Ryan Marlor | Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-03-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.