Brandon Abbott, D.O.
Individual provider Active NPI Family Medicine Physician · Kansas City, MO
NPI 1356875702 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1356875702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2017021934 (MO)
- Practice address
- 7900 Lees Summit Rd
Kansas City, MO 64139-1236 - Phone
- (816) 407-7000
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Missouri Medical Center
Practice addresses (Care Compare)
513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7751
Hospital & facility affiliations
- Specialized Home Care
- Western Missouri Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201019001973 | MO | Practitioner - Family Practice | 9133549819 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017021934 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Missouri Medical Center | Family Medicine | Current |
Accepting new patients |
| Western Missouri Medical Center | Family Medicine | Current |
Accepting new patients |
| Western Missouri Medical Center | Current |
Accepting new patients | |
| Western Missouri Medical Center | Family Medicine | Current |
Accepting new patients |
| Western Missouri Medical Center | Current |
Accepting new patients | |
| Western Missouri Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1200 W 22nd St
Ste A
Higginsville, MO 64037
1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751
600 E Allen St
Ste A
Knob Noster, MO 65336
Phone (660) 563-5555
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
513 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2017021934 | MO | Yes |
Addresses
Primary practice location
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Mailing address
513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7751
Other providers in Kansas City, MO
- ABA New Dawn Mo LLC
- Sol Jocelyn Abarca Acevedo
- Abdelrahman Ahmed Fekry Abaza
- Aryana Abbas
- Ume Lubna Abbas
- Nita R Abbott
- Abc Digital LLC
- Abc'ND Enterprises LLC
- Abcnd Enterprises LLC
- Mohamed Abdalaziz
All providers in Kansas City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.