Active NPI
Braden Dunbar, D.O.
- Family Medicine Physician
- Kansas City, MO
National Provider Identifier
1265720395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 218279362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265720395 | Medicaid | MO |
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
Enrollment records 1
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
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
- NKC Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019408 | MI | MD | Family Medicine Physician |
| 218279362 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Neurology Physician
- North Kansas City, MO
- NPI 1023439833
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1184917288
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1619606159
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
-
- Home Health Agency
- Independence, MO
- NPI 1659610376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.