Organization Active NPI

Manhattan Primary Care LLC

  • Family Medicine Physician
  • Manhattan, KS
National Provider Identifier
1134554447
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MANHATTAN PRIMARY CARE LLC
Practice address
1133 College Ave
BLDG a, Suite 211
Manhattan, KS 66502-2770
Phone
(913) 642-4900
Fax
(913) 381-0979
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bradley K. Harrison, MD
Title
Authorized Partner
Phone
(785) 340-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1133 College Ave
BLDG a, Suite 211
Manhattan, KS 66502-2770

Mailing address

1133 College Ave Ste A211
Manhattan, KS 66502-2751
Phone (785) 320-5000

Other identifiers 1

IdentifierTypeStateIssuer
3000390801MedicaidKS

National Provider Directory

National Provider Directory

Locations

1133 College Ave
Ste 100
Manhattan, KS 66502

1133 College Ave
Ste A211A
Manhattan, KS 66502

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134554447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE A211",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022751",
            "telephone_number": "785-320-5000",
            "fax_number": "888-524-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BLDG A, SUITE 211",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "AUTHORIZED PARTNER",
        "authorized_official_telephone_number": "785-340-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000390801",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.