Provider Demographics
NPI:1770559494
Name:APPL, BRADLEY ALAN (MD)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:ALAN
Last Name:APPL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1420 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-1952
Mailing Address - Country:US
Mailing Address - Phone:913-831-1100
Mailing Address - Fax:913-831-0827
Practice Address - Street 1:1420 S 42ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-1952
Practice Address - Country:US
Practice Address - Phone:913-831-1100
Practice Address - Fax:913-831-0827
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS21690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSD93566Medicare UPIN
KS5685489CMedicare ID - Type Unspecified