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BROOKSIDE HEALTH SERVICES INC. NPI 1801950589


NPI Information

NPI: 1801950589
Provider Name: BROOKSIDE HEALTH SERVICES, INC.
Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
7337 BROADWAY ST
KANSAS CITY, MO
ZIP 64114
Phone: (816) 523-4600
Get Directions

BROOKSIDE HEALTH SERVICES, INC. is an occupational medicine preventive medicine in Kansas City, MO. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. BROOKSIDE HEALTH SERVICES, INC. NPI is 1801950589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7337 BROADWAY ST
KANSAS CITY, MO
ZIP 64114-357
Phone: (816) 523-4600
Fax: (816) 523-4724

The provider's authorized official is Michael Kelly Miller .
The authorized official title is Ceo and has the following contact phone number (816) 523-4600.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 10/26/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NR0400XChiropractorRehabilitation004675MISSOURINo
2225100000XPhysical Therapist2006023685MISSOURINo
32083X0100XPreventive MedicineOccupational MedicineR5D43MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109455022OTHERMISSOURIDR MILLER BCBS#
212455029OTHERMISSOURIDR NICHOLS BCBS#
3266645MEDICARE OSCAR/CERTIFICATIONMISSOURI
44598983OTHERMISSOURIAETNA GROUP NUMBER
50005046MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMICHAEL KELLY MILLER, DC
6350011659MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAILROAD MEDICARE
7756879607MEDICAIDMISSOURI
8C50915MEDICARE UPINMISSOURI
9T37446MEDICARE UPINMISSOURI
10Q49084MEDICARE UPIN
11L736769MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAMON NICHOLS, MD
1212973019OTHERMISSOURIGROUP BCBS NUMBER
131093892119OTHERM. KELLY MILLER, DC NPI#
14L730000MEDICARE ID-TYPE UNSPECIFIEDMISSOURIGROUP PRACTICE NUMBER
155905260001MEDICARE NSCMISSOURI
16P00201284MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAILROAD MEDICARE
171619088879OTHERRAMON NICHOLS, MD NPI#
18P57428MEDICARE UPIN

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

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