Bradley Keith Harrison, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-33249 Issued in KS

Practice address

2012 Vanesta PL Ste 220
Manhattan, KS 66503-4101

Phone

(857) 064-3277

Fax

(785) 600-2225

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1063553188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 VANESTA PL STE 220",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665034101",
            "telephone_number": "785-706-4327",
            "fax_number": "785-600-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 VANESTA PL STE 220",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665034101",
            "telephone_number": "857-064-3277",
            "fax_number": "785-600-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007001609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-33249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas M Harper
• Elizabeth Harrell, PMHNP-BC
• Graycen Harrell
• Jennifer A Harrington, SLP
• Lauren Harris
• Hartland Hearing Aid Center Inc
• Darcie Anna Hartwick, HIS
• Ricky Leonhard Hartwick, BC-HIS
• Thomas Allyn Harvey, PMHNP-C
• Clara Haslam

• Family Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.