Organization Active NPI

Kansas City Gastroenterology & Hepatology,LLC

  • Gastroenterology Physician
  • Kansas City, MO
National Provider Identifier
1750415436
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
101715 Issued in MO
Legal business name
KANSAS CITY GASTROENTEROLOGY & HEPATOLOGY,LLC
Practice address
6675 Holmes Rd Ste 430
Kansas City, MO 64131-1167
Phone
(816) 361-0055
Fax
(816) 361-5775
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Bradley Lawrence FreilichNPI 1659424810
Title
Owner
Phone
(816) 285-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 101715 MO Primary

Addresses

Primary practice location

6675 Holmes Rd Ste 430
Kansas City, MO 64131-1167

Mailing address

6675 Holmes Rd Ste 430
Kansas City, MO 64131-1167
Phone (816) 361-0055

Other identifiers 1

IdentifierTypeStateIssuer
500543806MedicaidMO

Other names 1

  • Bradley L Freilich md LLC Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040518001431 MO Part B Supplier - Clinic/Group Practice 6204827470 Receives reassigned benefits from 6 practitioners
Practice locations: Kansas City, MO
O20050721001111 KS Part B Supplier - Clinic/Group Practice 6204827470 Receives reassigned benefits from 1 practitioner
Practice locations: Lenexa, KS; Overland Park, KS

National Provider Directory

National Provider Directory
Tax ID family
Bradley L Freilich MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5701 W 119th St
Bldg B
Leawood, KS 66209

9091 State Line Rd
Ste 100
Kansas City, MO 64114
Phone (816) 228-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJCDD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1750415436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 430",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-361-0055",
            "fax_number": "816-361-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 430",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-361-0055",
            "fax_number": "816-361-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY GASTROENTEROLOGY & HEPATOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "FREILICH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-285-0104"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "101715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500543806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley L Freilich md LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bradley L Freilich md LLC",
            "code": "4",
            "type": "Former Legal Business 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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.