Bradley Keith Stucky, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-39002 Issued in KS

Practice address

911 N Main St
Garden City, KS 67846

Phone

(620) 276-8201

Fax

(620) 276-8739

NPI assigned

Jul 1, 2014

Last updated

Aug 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

University of Kansas School of Med (KC/Wich/Sal), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wildcat PT Home Health Home health agency, Garden City, KS, CCN 177195
• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• Garden Valley Retirement Village Nursing home, Garden City, KS, CCN 175175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.stucky.1@17070.direct.athenahealth.com

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.

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment Care Compare group NPD
• Commonspirit Kansas, Inc.

  • Pediatrics Physician
  • Garden City, KS
  • NPI 1922558279

  Family Medicine

  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• Commonspirit Kansas, Inc.

  • Family Medicine Physician
  • Garden City, KS
  • NPI 1881307437
  NPD (past)
• St. Catherine Hospital

  dba St Catherine Physician Services

  • Internal Medicine Physician
  • Garden City, KS
  • NPI 1053533844

  Family Medicine

  NPD (past)

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Garden Valley Retirement Village, LLC

  • Skilled Nursing Facility
  • Garden City, KS
  • NPI 1710210943

  Nursing home

  Care Compare affiliation
• Sunshine Nursing Agency, Inc.

  dba Wildcat PT Home Health

  • Home Health Agency
  • Garden City, KS
  • NPI 1154339224
  Care Compare affiliation

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1437565272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913041",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802913041",
            "telephone_number": "610-594-5108",
            "fax_number": "610-363-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N MAIN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-276-8201",
            "fax_number": "620-276-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-08514",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela E Stewart, MD
• Robin M Stocking, PHARMD
• Megan M Stoppel, APRN
• Strecker Family Chiropractic LLC
• William Tyler Stubenhofer, LMSW
• Bryan Kent Stucky, MD
• Racquel Stucky, D.O.
• Zachariah O Stuke, DPT
• Sunflower Case Management
• Sunflower Home Health Store, Inc.

• Family Medicine Physician in Garden City, KS
• Providers in Garden City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.