Bradley Huse Sullivan, MD | |
6400 Prospect, #598, Kansas City, MO 64132-4128 | |
(816) 444-6888 | |
(816) 444-1375 |
Full Name | Bradley Huse Sullivan |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 6400 Prospect, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790762227 | NPI | - | NPPES |
208258004 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | R6C60 (Missouri) | Primary |
Entity Name | Obhg Missouri Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154672095 PECOS PAC ID: 4789839689 Enrollment ID: O20130226000388 |
Mailing Address | Practice Location Address |
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Bradley Huse Sullivan, MD 6400 Prospect Ave, #598, Kansas City, MO 64132-4128 Ph: (816) 444-6888 | Bradley Huse Sullivan, MD 6400 Prospect, #598, Kansas City, MO 64132-4128 Ph: (816) 444-6888 |
Susan Marie Mou, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2101 Charlotte St, Kansas City, MO 64108 Phone: 816-404-7820 Fax: 816-404-8159 | |
Dr. Kristopher Shawn Lybarger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2340 E Meyer Blvd Bldg 2, Ste 546, Kansas City, MO 64132 Phone: 816-926-0777 Fax: 816-926-0707 | |
Douglas R Perryman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4400 Broadway Ste 302, Kansas City, MO 64111 Phone: 816-931-9344 Fax: 816-931-4168 | |
Anupama Kotha, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-3584 Fax: 816-932-5873 | |
Zachary James Alholm, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-0880 | |
Gerald Lee Miller Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6400 Prospect, #598, Kansas City, MO 64132 Phone: 816-444-6888 Fax: 816-444-1375 | |
Dr. Karen K Driskell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8600 Ne 82nd St, Kansas City, MO 64158 Phone: 816-741-9122 Fax: 816-741-9665 |