Individual provider Active NPI

Bradley Carmichael, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
National Provider Identifier
1730142902
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2007011168 Issued in MO
Practice address
9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone
(913) 396-8509
Fax
(913) 318-8378
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 48622 WI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2007011168 MO Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-32447 KS

Addresses

Primary practice location

9705 Lenexa Dr
Lenexa, KS 66215-1345

Mailing address

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Other identifiers 3

IdentifierTypeStateIssuer
200537970BMedicaidKS
207477308MedicaidMO
201261760AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071002000846 MO Practitioner - Pathology 0143315390 Reassigns benefits to 2 organizations
I20080117000318 KS Practitioner - Pathology 0143315390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mawd Pathology Group IncGroup PAC ID 2668421389, 38 clinicians
Mawd Pathologists LLCGroup PAC ID 5193102028, 28 clinicians

Practice addresses (Care Compare)

2800 Clay Edwards Dr
North Kansas City Hospital
Kansas City, MO 64116-3220
Phone (913) 396-8509

5830 NW Barry Rd
St Lukes North Hospital Lab
Kansas City, MO 64154-1493
Phone (913) 396-8509

9100 W 74TH St
Adventhealth Shawnee Mission
Shawnee Mission, KS 66204-4004
Phone (913) 396-8509

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32447KSMDAnatomic Pathology & Clinical Pathology Physician
48622WIMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creekwood Surgery Center, LP Current Accepting new patients

Locations

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

Organizations & group practices 3

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 8

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1730142902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WI",
            "license": "48622",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2007011168",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-32447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537970B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207477308",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201261760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.