Bradley Seaton Thedinger, MD

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

R7F10 Issued in MO

Practice address

3100 Broadway Suite 509
Kansas City, MO 64111-2413

Phone

(816) 531-7373

Fax

(816) 531-1404

NPI assigned

Mar 2, 2006

Last updated

May 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Midwest Ear Institute Inc

  • Audiologist
  • Kansas City, MO
  • NPI 1992742233
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1316914005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY SUITE 509",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112413",
            "telephone_number": "816-531-7373",
            "fax_number": "816-531-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY SUITE 509",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112413",
            "telephone_number": "816-531-7373",
            "fax_number": "816-531-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEDINGER",
        "first_name": "BRADLEY",
        "middle_name": "SEATON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MO",
            "license": "R7F10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100152510C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Summit, Inc.
• The Surgical Group of Kansas City P.C.
• The Whole Person, Inc.
• Brooke C Thebeau, PT
• Blair Ashton Thedinger
• Crystal Theis, DPT
• Larissa Theison, LCSW, LSCSW
• Laura Theno, LCPC, LPC
• Mariana Ferguson Theodoro, M.D.
• Therapy Centre for Families

• Otology & Neurotology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Otology & Neurotology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.