Bradley Dean Chrisjohn, D.O.
Individual provider Active NPI Family Medicine Physician · Lees Summit, MO
NPI 1013963727 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1013963727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2005016786 (MO)
- Practice address
- 615 SW 3Rd St
Lees Summit, MO 64063-2212 - Phone
- (816) 524-3799
- Fax
- (913) 495-3727
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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
- Encompass Medical Group PA
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060426000933 | MO | Practitioner - Family Practice | 9739199340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005016786 | MO | MD | Family Medicine Physician |
Practice roles (1 of 4)
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2005016786 | MO | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referrals_elsc@encompassmed.direct-ci.net | Direct | Encompass Medical Group, PA |
Other providers in Lees Summit, MO
- Cade Chiles
- Pandurang P Chillal
- Lakshmi Chintala
- Chiropractic Now P.C.
- Amy Y Chow
- Austin Christensen
- Brooke Christensen
- Marta Christgen Rodgers
- Brett Christian
- Danelle Christian
All providers in Lees Summit, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.