Bradley Huse Sullivan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R6C60 Issued in MO

Practice address

6400 Prospect
#598
Kansas City, MO 64132-4128

Phone

(816) 444-6888

Fax

(816) 444-1375

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Midwest Womens Healthcare, PC

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
  • NPI 1336231026
  NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1790762227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "#598",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324128",
            "telephone_number": "816-444-6888",
            "fax_number": "816-444-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT",
            "address_2": "#598",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324128",
            "telephone_number": "816-444-6888",
            "fax_number": "816-444-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRADLEY",
        "middle_name": "HUSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R6C60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208258004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Ann Sullian, RD
• Amy Ruth Sullivan, OD
• Angela Marie Sullivan, DDS
• Barbara Sullivan, SLP.D.
• Bonnie Rae Sullivan, M.D.
• Chad Sullivan
• Chad Sullivan, MD
• Christine Sullivan, MD
• Colleen P Sullivan, MSN CS C AP MHCNS AP
• Kevin Sullivan, RN

• Obstetrics & Gynecology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.