Individual provider Active NPI

Darrick P Bronson, OTR

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1144408410
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2006028538 Issued in MO
Practice address
621 Carondelet Dr
Kansas City, MO 64114-4670
Phone
(816) 943-4777
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2006028538 MO Primary

Addresses

Primary practice location

621 Carondelet Dr
Kansas City, MO 64114-4670

Mailing address

420 Lawn Ave
Kansas City, MO 64124-2116
Phone (816) 943-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130528000576 MO Practitioner - Occupational Therapist in Private Practice 9234377532 Reassigns benefits to 1 organization
I20220915001916 KS Practitioner - Occupational Therapist in Private Practice 9234377532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah a King Ma and Associates IncGroup PAC ID 9931091485, 19 clinicians

Practice addresses (Care Compare)

5301 Harry S Truman Dr
Grandview, MO 64030-1708
Phone (816) 531-5746

721 Metropolitan Ave
Suite C
Leavenworth, KS 66048-1403
Phone (913) 250-5452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006028538MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc CurrentSince Apr 1, 2013 Accepting new patients

Locations

721 Metropolitan Ave
Ste C
Leavenworth, KS 66048
Phone (913) 250-5452

10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518

5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1144408410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAWN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242116",
            "telephone_number": "816-943-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144670",
            "telephone_number": "816-943-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "DARRICK",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006028538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.