Bryan C Hughes, MD
Individual provider Active NPI Family Medicine Physician · Lees Summit, MO
NPI 1104866672 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1104866672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2006009612 (MO)
- Practice address
- 1650 NE Grand Ave Ste 201
Lees Summit, MO 64086-6042 - Phone
- (888) 701-4661
- Fax
- (888) 239-2595
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Owned or controlled facilities with NPI records 2
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
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Acg Hospice |
Hospice | W-2 Managing Employee | Jun 5, 2025 |
| Acg Hospice |
Hospice | W-2 Managing Employee | Jun 5, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615003068 | MO | Order and Referring Only - Family Practice |
8022019439 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0445752 | KS | MD | Family Medicine Physician |
| 2006009612 | MO | MD | Family Medicine Physician |
| 009612 | MO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Hospice of Kansas City LC | Current |
Accepting new patients | |
| Crossroads Hospice of Kansas City | Current |
Accepting new patients | |
| Acg Missouri West, LLC | Family Medicine | Current |
Accepting new patients |
| Acg Kansas, LLC | Family Medicine | Past |
Accepting new patients |
| Acg Kansas, LLC | Past | Accepting new patients | |
| Acg Missouri West, LLC | Past |
Accepting new patients | |
| Ogmc LLC | Past | Accepting new patients |
Locations
14310 E 42nd St S
Ste 600
Independence, MO 64055
Phone (816) 333-7308
1650 NE Grand Ave
Ste 201
Lees Summit, MO 64086
Phone (888) 701-4661
187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0445752 | KS | |
| Family Medicine Physician | 207Q00000X | 2006009612 | MO | Yes |
Addresses
Primary practice location
1650 NE Grand Ave Ste 201
Lees Summit, MO 64086-6042
Mailing address
187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738
Other practice location 1
7400 W 132nd St Ste 180
Overland Park, KS 66213-1141
Phone (888) 701-4661
Other providers in Lees Summit, MO
- Jill Marie Huded
- Mary Hudson
- John William Huebner
- Elizabeth Huff
- Allissa Marie Hughes
- Sarah Hughes
- Rebecca Hughey
- Hugo M. Gibson, D.C., P.C.
- Hugo V Gibson DC, PC
- Steven Glen Hull
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 Dec 3, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.