Julie D Brack, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-26865 Issued in KS

Practice address

23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301

Phone

(913) 676-8630

Fax

(913) 676-8635

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shawnee Mission Medical Center Inc 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbrack661092@adventhealth.direct-ci.com

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.

• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690

  Family Medicine, KS

  Medicare reassignment Care Compare group NPD
• Priority Care, LLC

  • Clinic/Center
  • Leawood, KS
  • NPI 1558452854
  NPD (past)
• Carondelet Primary Care Network, Inc

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1063465359

  Family Medicine

  NPD (past)

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

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Merriam, KS
  • NPI 1750323937
  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337

  Hospital

  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634

  Hospital

  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681

  Hospital

  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1396836680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 PENROSE LN APT 242",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662198156",
            "telephone_number": "913-219-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277301",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Wentzville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853408",
            "country_code": "US",
            "telephone_number": "636-497-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11301 ASH STREET",
            "address_purpose": "LOCATION",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "country_code": "US",
            "telephone_number": "913-338-4515",
            "fax_number": "913-338-4606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Frontier Ln",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617216",
            "country_code": "US",
            "telephone_number": "913-219-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACK",
        "first_name": "JULIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-10-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26865",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Boyd, M.D.
• Gail J. Boyer, D.C.
• Julie Boyer, RD
• Tara Deanne Boyle, D.D.S.
• Sara Braak, MD
• Brad Storm MD LLC
• Sharon Bradbury
• Braden Partners LP
• Brain First Family Center LLC
• Cynthia Michele Bramble, LPC

• All providers in Lenexa, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.

Verify at the official NPI Registry.