Active NPI
Bradley Duncan Vince, D.O.
- Research Study Specialist
- Overland Park, KS
National Provider Identifier
1558494807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- 05-28502
- Practice address
- 7401 W 91St Street
Overland Park, KS 66212 - Phone
- (913) 333-3000
- Fax
- (913) 696-1640
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | 05-28502 | KS | Primary |
Addresses
Primary practice location
7401 W 91St Street
Overland Park, KS 66212
Mailing address
7401 W 91St Street
Overland Park, KS 66212
Phone (913) 333-3000
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-28502 | KS | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1558494807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 W 91ST STREET",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-333-3000",
"fax_number": "913-696-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 W 91ST STREET",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-333-3000",
"fax_number": "913-696-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCE",
"first_name": "BRADLEY",
"middle_name": "DUNCAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "KS",
"license": "05-28502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.