BRAD STORM MD LLC NPI 1982205308

NPI Information

NPI: 1982205308
Provider Name: BRAD STORM MD LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
23351 PRAIRIE STAR PKWY STE 275
LENEXA, KS
ZIP 66227
Phone: (913) 815-4701
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BRAD STORM MD LLC is a plastic and reconstructive surgery surgery in Lenexa, KS. The provider is a surgeon who specializes in plastic and reconstructive surgery. BRAD STORM MD LLC NPI is 1982205308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23351 PRAIRIE STAR PKWY STE 275
LENEXA, KS
ZIP 66227-201
Phone: (913) 815-4701
Fax: (913) 815-4703

The provider's authorized official is Cathi S Smith .
The authorized official title is Practice Manager and has the following contact phone number (913) 815-4705.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0105X	Surgery	Surgery of the Hand			No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100120050C	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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