Douglas L Bradley
BELTON FAMILY PRACTICE CLINIC LLC


Address: 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Phone: 8163314000

Douglas L Bradley (NPI# 1689669301, PAC ID# 1153459912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1689669301
PAC ID by PECOS 1153459912
Professional Enrollment ID I20100514000714
Full Name Douglas L Bradley
Organization Legal Name BELTON FAMILY PRACTICE CLINIC LLC
Address 17067 S Outer Rd
Suite 100
Belton
MO 64012-2100
Phone Number 8163314000
Gender M
Graduation Year 1980
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 5193717601
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260214 BELTON REGIONAL MEDICAL CENTER
261324 CASS REGIONAL MEDICAL CENTER
260085 ST JOSEPH MEDICAL CENTER

Other Locations

Address Phone Organization
17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 8163314000 BELTON FAMILY PRACTICE CLINIC LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name BELTON FAMILY PRACTICE CLINIC LLC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Zandra R Gottman Nurse Practitioner Belton Family Practice Clinic LLC 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100
David R Williams Family Medicine Belton Family Practice Clinic LLC 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100
Kent A Bogner Family Medicine Belton Family Practice Clinic LLC 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100
Logan F Kratt Family Medicine Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Bridget M Stillwell Nurse Practitioner Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Ossama Al-assafeen Internal Medicine Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Kirk D Ridley Family Medicine Belton Family Practice Clinic LLC 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100
Purnima S Mohan Family Practice Belton Family Practice Clinic LLC 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100

Office Location

Street Address 17067 S OUTER RD
SUITE 100
City BELTON
State MO
Zip 64012-2100

Physicians in the same location

Name Specialty Organization Address
Shannon E Kohake Neurology Research Neurology Associates, LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Brian P Mieczkowski Internal Medicine Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Michael D Chacey Pulmonary Disease Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Logan F Kratt Family Medicine Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Lyndsey N Augur Physician Assistant Signature Medical Group of Kc Pa 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165
Timothy L Blackburn Cardiovascular Disease (cardiology) Midwest Heart and Vascular Specialists LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Lindsey M Brown Nurse Practitioner Signature Medical Group of Kc Pa 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165
William Miles Beary Pulmonary Disease Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Kathryn S Kincaide Nurse Practitioner Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Bridget M Stillwell Nurse Practitioner Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
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Physicians in the same zip code

Name Specialty Organization Address
Breann K Smith Hospitalist Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Melissa S Campbell Nurse Practitioner Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
John Paul Armilio Family Medicine Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Nilofar D Rahman Hospitalist Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Amy W Gemperli Ophthalmology Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Amy E Ciccio Ophthalmology Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Ginger E Cline Optometry Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Alan E Bauman Ophthalmology State Line Eye Care Center, PC 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017
Rick D Thomas Clinical Psychologist 409 N Scott Ave, Belton, MO 64012-2035
Robert A Bondi Podiatry 115 Bradford Lane, Belton, MO 64012-2086
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Competitor

Search similar physicians

City BELTON
Zip Code 64012
Specialty FAMILY MEDICINE
City + Specialty BELTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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