Bryan L Phillips, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

115527 Issued in MO

Practice address

1600 NW South Outer Rd
Blue Springs, MO 64015-2963

Phone

(816) 524-3223

Fax

(816) 525-2697

NPI assigned

Jul 8, 2005

Last updated

Jun 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bryan.phillips.1@25804.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Children's Mercy-Community Choice Pediatrics

  • Pediatrics Physician
  • Lee's Summit, MO
  • NPI 1114540085
  NPD (past)
• Lee's Summit Physicians Group

  dba Blue Springs Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Blue Springs, MO
  • NPI 1225335250
  NPD (past)
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1629076278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865705",
            "telephone_number": "816-524-3223",
            "fax_number": "816-525-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152963",
            "telephone_number": "816-524-3223",
            "fax_number": "816-525-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRYAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "115527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203882907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Institute
• Adeel Pervez, MD
• Brooke Elizabeth Peterson
• John E. Peterson, D.O.
• Kim Pham, PHARMD
• Ramona Phillips
• Mary Phipps, PTA
• PHSL, LLC (Shangri-la Rehab and Living Center)
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC

• Pediatrics Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.