Individual provider Active NPI

Braden Dunbar, D.O.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1265720395
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218279362 Issued in MO
Practice address
2000 NE Vivion Rd
Suite 100
Kansas City, MO 64118-6127
Phone
(816) 453-1314
Fax
(816) 453-3434
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019408 MI
Family Medicine Physician 207Q00000X 218279362 MO Primary

Addresses

Primary practice location

2000 NE Vivion Rd
Suite 100
Kansas City, MO 64118-6127

Mailing address

2000 NE Vivion Rd
Suite 100
Kansas City, MO 64118-6127
Phone (816) 453-1314

Other identifiers 1

IdentifierTypeStateIssuer
1265720395MedicaidMO

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
I20140825001422 MO Practitioner - Family Practice 1355569823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2000 NE Vivion Rd
Suite 100
Kansas City, MO 64118-6100
Phone (816) 453-1314

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Independence, MO, CCN 267650
  • NKC Health Hospital, North Kansas City, MO, CCN 260096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019408MIMDFamily Medicine Physician
218279362MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Family Medicine Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

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 3

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1265720395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE VIVION RD",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641186127",
            "telephone_number": "816-453-1314",
            "fax_number": "816-453-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE VIVION RD",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641186127",
            "telephone_number": "816-453-1314",
            "fax_number": "816-453-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "BRADEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019408",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "218279362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265720395",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.