Active NPI
Bridge Hill Eye, LLC
- Optometrist
- Lenexa, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BRIDGE HILL EYE, LLC
- Practice address
- 13803 W 82ND Ter
Lenexa, KS 66215-4168 - Phone
- (816) 533-5336
- NPI assigned
- Sep 1, 2017
- Last updated
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Coury Broberg, OD
- Title
- Optometrist
- Phone
- (816) 533-5336
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
13803 W 82ND Ter
Lenexa, KS 66215-4168
Mailing address
13803 W 82ND Ter
Lenexa, KS 66215-4168
Phone (816) 533-5336
Other practice location 1
7325 W 79th St
Overland Park, KS 66204-2908
Phone (816) 533-5336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497130702 | Medicaid | MO |
Other names 1
- Bridge Hill, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7325 W 79th St
Overland Park, KS 66204
Phone (816) 333-1500
20551 E Trinity Pl
Blue Springs, MO 64015
Phone (816) 367-2123
2580 Norterre Cir
#C
Liberty, MO 64068
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1619962099
-
- Optometrist
- Kansas City, MO
- NPI 1154421402
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1558533984
-
- Adult Health Nurse Practitioner
- Independence, MO
- NPI 1932138740
-
- Family Nurse Practitioner
- Independence, MO
- NPI 1851912257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1124546882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13803 W 82ND TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154168",
"telephone_number": "816-533-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13803 W 82ND TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154168",
"telephone_number": "816-533-5336"
}
],
"practiceLocations": [
{
"address_1": "7325 W 79th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662042908",
"country_code": "US",
"telephone_number": "816-533-5336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIDGE HILL EYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-01",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "BROBERG",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "COURY",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "816-533-5336",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497130702",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridge Hill, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.