Bradly Grant Macoubrie, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

2010021448 Issued in MO

Practice address

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Phone

(816) 861-4700

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1811702848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 S COCHISE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571856",
            "telephone_number": "816-786-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E LINWOOD BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641282226",
            "telephone_number": "816-861-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOUBRIE",
        "first_name": "BRADLY",
        "middle_name": "GRANT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2010021448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Marie Macnaughton
• Jordan Elizabeth Macneil
• Cheryl Ann Macneill
• Simon Macneill, DDS
• Bridget Macnevin-Pfeiffer, CCC-SLP
• Meghan E Macy, FNP
• Alosh Madala, MD
• Nitin Madan, MD
• Catherine Elizabeth Madden, M.D.
• Thomas Gerald Maddox, M.D.

• Addiction (Substance Use Disorder) Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.