Active NPI
Brandon Coldren
- Hearing Instrument Specialist
- Prairie Village, KS
National Provider Identifier
1922429331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1413
- Practice address
- 3520 W 75TH St
Suite 105
Prairie Village, KS 66208-4102 - Phone
- (913) 262-4327
- Fax
- (913) 262-4330
- NPI assigned
- Jan 2, 2014
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1413 | KS | Primary |
Addresses
Primary practice location
3520 W 75TH St
Suite 105
Prairie Village, KS 66208-4102
Mailing address
6 Victory Drive
Liberty, MO 64068-1972
Phone (816) 883-2660
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1413 | KS | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1922429331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VICTORY DRIVE",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681972",
"telephone_number": "816-883-2660",
"fax_number": "816-474-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W 75TH ST",
"address_2": "SUITE 105",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084102",
"telephone_number": "913-262-4327",
"fax_number": "913-262-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLDREN",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KS",
"license": "1413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.