Individual provider Active NPI

Zachary Lennon Bradley, NREMT

  • Independent Duty Medical Technicians
  • Kansas City, MO
National Provider Identifier
1538446018
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
400 E 9TH St Ste 0040
Vha- Emergency Management
Kansas City, MO 64106-2607
Phone
(800) 525-1483
Fax
(816) 842-0885
NPI assigned
Nov 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Paramedic 146L00000X
Health Educator 174H00000X
Phlebotomy Technician 246RP1900X
Technician 374700000X
Nurse's Aide 376K00000X
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

400 E 9TH St Ste 0040
Vha- Emergency Management
Kansas City, MO 64106-2607

Mailing address

395 Biddle Blvd BLDG 2101
Fort Leavenworth, KS 66027-2307
Phone (816) 701-3213

Other identifiers 1

IdentifierTypeStateIssuer
E1303796OtherNREMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1538446018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 BIDDLE BLVD BLDG 2101",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272307",
            "telephone_number": "816-701-3213",
            "fax_number": "913-684-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 9TH ST STE 0040",
            "address_2": "VHA- EMERGENCY MANAGEMENT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062607",
            "telephone_number": "800-525-1483",
            "fax_number": "816-842-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ZACHARY",
        "middle_name": "LENNON",
        "name_prefix": "Mr.",
        "credential": "NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NREMT",
            "identifier": "E1303796",
            "state": null
        }
    ],
    "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 Aug 30, 2021; 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.