Individual provider Active NPI

Brady Hanson, D.O.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1780945295
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015030395 Issued in MO
Practice address
8800 Blue Ridge Blvd
Kansas City, MO 64138-4000
Phone
(816) 321-2200
Fax
(816) 599-5929
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 05-38098 KS
Family Medicine Physician 207Q00000X 2015030395 MO Primary

Addresses

Primary practice location

8800 Blue Ridge Blvd
Kansas City, MO 64138-4000

Mailing address

3717 S Whitney Ave
Independence, MO 64055-6740
Phone (913) 297-7472

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
I20160126000431 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3870800832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

4407 E 50TH Ter
Davita Swope
Kansas City, MO 64130-2855
Phone (800) 424-6589

Hospital & facility affiliations

  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-38098KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spira Care, LLC Family Medicine CurrentSince Nov 27, 2022 Accepting new patients
Swope Health Services Current Accepting new patients
University Health Physicians Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Swope Health Services CurrentSince Dec 16, 2015 Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

3717 S Whitney Ave
Independence, MO 64055
Phone (816) 395-3520

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

Organizations & group practices 4

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1780945295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 S WHITNEY AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556740",
            "telephone_number": "913-297-7472",
            "fax_number": "816-398-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BLUE RIDGE BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641384000",
            "telephone_number": "816-321-2200",
            "fax_number": "816-599-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BRADY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-38098",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015030395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.