Individual provider Active NPI

Brent A. Hrabik, MD

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1720008295
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36938 Issued in MO
Practice address
6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167
Phone
(816) 276-7600
Fax
(816) 276-7992
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-23129 KS
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36938 MO Primary

Addresses

Primary practice location

6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167

Mailing address

6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167
Phone (816) 276-7600

Other identifiers 5

IdentifierTypeStateIssuer
103268OtherKSBC/BS OF KANSAS
175244OtherKSCOVENTRY INSURANCE
04-23129OtherKSSTATE MEDICAL LICENSE
109954OtherKSHPK
100370580CMedicaidKS

Other names 1

  • Brent A Hrabik Professional name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-23129KSMDFamily Medicine Physician
36938MOMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720008295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRABIK",
        "first_name": "BRENT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-23129",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS",
            "identifier": "103268",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY INSURANCE",
            "identifier": "175244",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "04-23129",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "109954",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100370580C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENT",
            "last_name": "HRABIK",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 7, 2023; 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.