Active NPI
Bradley Kinder, M.D.
- Emergency Medicine Physician
- Fort Leonard Wood, MO
National Provider Identifier
1912203134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2014014738
- Practice address
- General Leonard Wood Community Hospital Emergency Dept
4234 Illinois Ave
Fort Leonard Wood, MO 65473-0000 - Phone
- (573) 596-0456
- NPI assigned
- Feb 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2014014738 | MO | Primary |
Addresses
Primary practice location
General Leonard Wood Community Hospital Emergency Dept
4234 Illinois Ave
Fort Leonard Wood, MO 65473-0000
Mailing address
General Leonard Wood Community Hospital Emergency Dept
4234 Illinois Ave
Fort Leonard Wood, MO 65473-0000
Phone (573) 596-0456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | 00000000 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123940 | CA | MD | Clinical Social Worker |
| 2014014738 | MO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1912203134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GENERAL LEONARD WOOD COMMUNITY HOSPITAL EMERGENCY DEPT",
"address_2": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654730000",
"telephone_number": "573-596-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GENERAL LEONARD WOOD COMMUNITY HOSPITAL EMERGENCY DEPT",
"address_2": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654730000",
"telephone_number": "573-596-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDER",
"first_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-05",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2014014738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00000000",
"identifier": "0000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.