Active NPI
Brandie A Niedens, MD
- Emergency Medicine Physician
- North Kansas City, MO
National Provider Identifier
1912975715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2003015172
- Practice address
- 2800 Clay Edwards Dr
North Kansas City, MO 64116-3220 - Phone
- (816) 346-7220
- Fax
- (816) 346-7242
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- 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 | 2003015172 | MO | Primary |
Addresses
Primary practice location
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Mailing address
PO Box 11157
Kansas City, MO 64119-0157
Phone (913) 234-1350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209171206 | Medicaid | MO | |
| P00446293 | Other | RR MEDICARE GROUP CD1534 | |
| 33194045 | Other | BCBS KC MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305000084 | MO | Practitioner - Emergency Medicine | 8628966322 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Medical Services PC | Emergency Medicine | Current | Accepting new patients |
| United Imaging Consultants, LLC | Past | Accepting new patients | |
| RMC HBP, LLC | Past | Accepting new patients |
Locations
2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- North Kansas City, MO
- NPI 1578556023
Emergency Medicine, MO
-
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1508855602
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1912975715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11157",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641190157",
"telephone_number": "913-234-1350",
"fax_number": "913-234-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DR",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163220",
"telephone_number": "816-346-7220",
"fax_number": "816-346-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDENS",
"first_name": "BRANDIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2003015172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209171206",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CD1534",
"identifier": "P00446293",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC MO",
"identifier": "33194045",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.