BRADY L JOHNSON

Address: 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941
Phone: 8169322700

BRADY L JOHNSON (NPI# 1336423607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336423607
Entity Type 1 - Individual
Full Name BRADY L JOHNSON
Credential PA
Practice Address 4320 Wornall Rd
Suite 710
Kansas City
MO 64111-5941
Mailing Address 901 E. 104th St.
Mailstop 400n
Kansas City
MO 64131
Practice Telephone 8169322700
Practice Fax Number 8169322705
Mailing Telephone 8165028756
Mailing Fax Number 8169329670
Enumeration Date 10/05/2011
Last Update Date 11/16/2017
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MO Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4320 WORNALL RD
SUITE 710
City KANSAS CITY
State MO
Zip Code 64111-5941

Providers with the same location

NPI Name Address
1477556215 MR. PAUL W JENKINS JR. 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941
1932107000 MICHAEL A CASSELL 4320 Wornall Rd, Suite 220, Kansas City, MO 64111-5941
1841298916 DR. KOMAL B DESAI 4320 Wornall Rd, Suite 220, Kansas City, MO 64111-5941
1730188418 CHRIS JAMES MAEDA 4320 Wornall Rd, Kansas City, MO 64111-3235
1144229261 DR. CALVIN D COCHRAN 4320 Wornall Rd, Suite 65, Kansas City, MO 64111-5941
1982603973 DR. JOHN A SPERTUS 4320 Wornall Rd, Suite 65, Kansas City, MO 64111-5941
1841299823 DR. FREDERICK B LINTECUM 4320 Wornall Rd, Suite 720, Kansas City, MO 64111-5941
1053310045 DR. RICHARD W LUSTIG 4320 Wornall Rd, Suite 65, Kansas City, MO 64111-5941
1497754493 DR. JOHN D YEAST 4320 Wornall Rd, Suite 336, Kansas City, MO 64111-5941
1144229089 DR. DONALD R CAMPBELL 4320 Wornall Rd, Suite 65, Kansas City, MO 64111-5941

Competitor

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City KANSAS CITY
Zip Code 64111

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Dataset Information

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.