Thaddeus Bryan Bownik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R5809 Issued in MO

Practice address

2750 Clay Edwards Dr
Suite 215
North Kansas City, MO 64116-3237

Phone

(816) 691-5400

Fax

(816) 346-7040

NPI assigned

Feb 2, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1831161173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY",
            "address_2": "SUITE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-436-7072",
            "fax_number": "816-436-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "SUITE 215",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-691-5400",
            "fax_number": "816-346-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWNIK",
        "first_name": "THADDEUS",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC INDIVIDUAL",
            "identifier": "05271050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202349809",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110128448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Bordson, D.O.
• Deborah A Borek, MD
• Abdurrahman Bouzid, DO
• Sandra Bowlby, L.P.C., C.A.S.A.C.
• Rachel Lynn Bowling, DPT
• Angela Boxberger, RD, LD
• Patricia Ann Bradley, RN, MSN, WHNP-BC
• Byron Vernon Branch Jr., PT., DPT
• Brandi Whitaker, D.C., LLC
• Meredith Brandt, RD

• All providers in North Kansas City, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.