Active NPI
Darrick P Bronson, OTR
- Occupational Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2006028538
- Practice address
- 621 Carondelet Dr
Kansas City, MO 64114-4670 - Phone
- (816) 943-4777
- NPI assigned
- Feb 8, 2008
- Last updated
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006028538 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a King Ma & Associates Inc | Current | 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.
-
- Speech-Language Pathologist
- Shawnee Mission, KS
- NPI 1942408950
MO
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.