Henry Wesley Brame Jr., RN
Individual provider Active NPI Registered Nurse · De Soto, KS
NPI 1134716178 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1134716178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 13-103501-021 (KS)
- Practice address
- 9197 Scott Dr
De Soto, KS 66018-8508 - Phone
- (816) 223-9227
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-103501-021 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-103501-021 | KS | Yes |
Addresses
Primary practice location
9197 Scott Dr
De Soto, KS 66018-8508
Mailing address
9197 Scott Dr
De Soto, KS 66018-8508
Phone (816) 223-9227
Other providers in De Soto, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.