Individual provider Active NPI

Brandie A Niedens, MD

  • Emergency Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1912975715
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2003015172 Issued in MO
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

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209171206MedicaidMO
P00446293OtherRR MEDICARE GROUP CD1534
33194045OtherBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Midwest Emergency Medical Services PC Emergency Medicine CurrentSince Sep 1, 2007 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.

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

Verify at the official NPI Registry.