Individual provider Active NPI

Bradley W Garstang, M.D.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1609878271
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2001014621 Issued in MO
Practice address
8380 N Tullis Ave
Ste 300
Kansas City, MO 64158
Phone
(816) 415-3451
Fax
(816) 415-3452
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2001014621 MO Primary

Addresses

Primary practice location

8380 N Tullis Ave
Ste 300
Kansas City, MO 64158

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 781-7730

Other identifiers 1

IdentifierTypeStateIssuer
31014041OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20090602000063 MO Practitioner - Family Practice 7618026295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Hospital Urgent Care, LLCGroup PAC ID 3375866163, 14 clinicians
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

8300 N Church Rd
Kansas City, MO 64158-1104
Phone (816) 407-2300

8380 N Tullis Ave
Suite 300
Kansas City, MO 64158-5114
Phone (816) 415-3451

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2001014621MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Hospital Urgent Care, LLC CurrentSince Aug 1, 2017 Accepting new patients
New Liberty Hospital Corporation Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
New Liberty Hospital Coporation CurrentSince Jan 1, 2013 Accepting new patients
New Liberty Hospital Coporation Family Medicine Past Accepting new patients
New Liberty Hospital Corporation Family Medicine PastSince Aug 1, 2017 Accepting new patients

Locations

8380 N Tullis Ave
Ste 300
Kansas City, MO 64158
Phone (816) 415-3451

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: bradley.garstangmd.p11@direct.nlhc.nextgenshare.com
  • Direct secure messaging: bradley.garstangmd.p7@direct.nlhc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1609878271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-781-7730",
            "fax_number": "816-415-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 N TULLIS AVE",
            "address_2": "STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64158",
            "telephone_number": "816-415-3451",
            "fax_number": "816-415-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSTANG",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD2001014621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31014041",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.