Brad Storm MD LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

BRAD STORM MD LLC

Practice address

23351 Prairie Star Pkwy Ste 275
Lenexa, KS 66227-6201

Phone

(913) 815-4701

Fax

(913) 815-4703

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Cathi S Smith

Title

Practice Manager

Phone

(913) 815-4705

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Ashlee Woods

  • Medical Physician Assistant
  • Fayetteville, AR
  • NPI 1184273286
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1982205308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 COLLEGE BLVD STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104043",
            "telephone_number": "913-815-4705",
            "fax_number": "913-915-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE 275",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662276201",
            "telephone_number": "913-815-4701",
            "fax_number": "913-815-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD STORM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CATHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "913-815-4705"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120050C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lenexa",
            "affiliation": "N",
            "address_1": "23351 Prairie Star Pkwy Ste 275",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662276201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gail J. Boyer, D.C.
• Julie Boyer, RD
• Tara Deanne Boyle, D.D.S.
• Sara Braak, MD
• Julie D Brack, M.D.
• Sharon Bradbury
• Braden Partners LP
• Brain First Family Center LLC
• Cynthia Michele Bramble, LPC
• Molly Brandenburg

• Plastic and Reconstructive Surgery Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Plastic and Reconstructive Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.