Individual provider Active NPI

Amy Elaine Brose, MD

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1215964366
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007014001 Issued in MO
Practice address
9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176
Phone
(816) 994-8787
Fax
(816) 994-8788
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007014001 MO Primary

Addresses

Primary practice location

9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176

Mailing address

9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176
Phone (816) 994-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000721 MO Practitioner - Family Practice 3971603960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay Platte Family Medicine ClinicGroup PAC ID 3173424231, 24 clinicians

Practice addresses (Care Compare)

9151 NE 81St Ter
105 Barry Pointe Family Care
Kansas City, MO 64158-1176
Phone (816) 994-8787

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Overland Park, KS, CCN 177179
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • NKC Health Hospital, North Kansas City, MO, CCN 260096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Platte Family Medicine Clinic Family Medicine CurrentSince Jul 16, 2023 Accepting new patients
Clay Platte Family Medicine Clinic Family Medicine CurrentSince Jul 16, 2023 Accepting new patients
Northland Family Care, P.C. Family Medicine PastSince Jun 1, 1992 Accepting new patients
Marion Pain Center, LLC Past Accepting new patients

Locations

9151 NE 81st Ter
Ste 105
Kansas City, MO 64158
Phone (816) 695-9487

5501 NW 62nd Ter
Ste 100
Kansas City, MO 64151
Phone (816) 842-4440

Interoperability endpoints

  • Direct secure messaging: amy.brose@direct.bpfc.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/032e9fee-d494-4ca3-97ce-b40c8d2eecf6/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1215964366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-994-8787",
            "fax_number": "816-994-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-994-8787",
            "fax_number": "816-994-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007014001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.