Active NPI
Bradley Dean Chrisjohn, D.O.
- Family Medicine Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2005016786
- Practice address
- 615 SW 3Rd St
Lees Summit, MO 64063-2212 - Phone
- (816) 524-3799
- Fax
- (913) 495-3727
- NPI assigned
- May 25, 2006
- Last updated
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2005016786 | MO | Primary |
Addresses
Primary practice location
615 SW 3Rd St
Lees Summit, MO 64063-2212
Mailing address
8550 Marshall Dr Ste 220
Lenexa, KS 66214-1505
Phone (816) 524-3799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referrals_elsc@encompassmed.direct-ci.net | Direct | Encompass Medical Group, PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
373 W 101St Ter
Kansas City, MO 64114-4408
Phone (816) 941-1400
373 W 101St Terrace
Kansas City, MO 64114-4408
Phone (816) 942-8200
4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone (816) 941-1400
615 SW 3Rd St
Encompass Lee's Summit Clinic
Lees Summit, MO 64063-2212
Phone (816) 524-3799
8550 Marshall Dr
Lenexa, KS 66214-1505
Hospital & facility affiliations
- Amedisys Home Health of Missouri
- Phoenix Home Care
- Home Health by John Knox Village
- Saint Luke's East Hospital
- University of Kansas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Medical Group, PA | Family Medicine | Current | Accepting new patients |
Locations
8550 Marshall Dr
Ste 220
Overland Park, KS 66214
Phone (816) 942-8200
373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
615 W 3rd St
Lees Summit, MO 64063
Phone (816) 524-3799
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
- IA HMO
Interoperability endpoints
- bradley.chrisjohn@hca2.eclinicaldirectplus.com
- leessummitclinic@1223.direct.myezyaccess.com
- referrals_elsc@encompassmed.direct-ci.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Encompass Medical Group, PC
- General Practice Physician
- Overland Park, KS
- NPI 1063457299
Family Medicine, MO
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Missouri
- Home Health Agency
- Lee's Summit, MO
- NPI 1215191598
-
dba Home Health by John Knox Village
- Home Health Agency
- Lee's Summit, MO
- NPI 1770587040
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1013963727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 MARSHALL DR STE 220",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141505",
"telephone_number": "816-524-3799",
"fax_number": "913-495-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SW 3RD ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632212",
"telephone_number": "816-524-3799",
"fax_number": "913-495-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISJOHN",
"first_name": "BRADLEY",
"middle_name": "DEAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2005016786",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referrals_elsc@encompassmed.direct-ci.net",
"affiliation": "Y",
"affiliationName": "Encompass Medical Group, PA",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "615 SW 3rd St",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640632212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.