Individual provider Active NPI

Braden Zoller, DO

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1982308375
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2025041574 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-4175
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 2025041574 MO Primary

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

11321 W 131St St
Overland Park, KS 66213-4480

Other practice location 1

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Other practice location 2

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

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
I20251121003903 MO Practitioner - Emergency Medicine 8628437753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1877 N Westwood Blvd
Poplar Bluff, MO 63901-2833

2000 Health Park Dr
Brentwood, TN 37027-4692

2301 Holmes St
Kansas City, MO 64108-2677

2301 Holmes St
2ND FL Ed Admin
Kansas City, MO 64108-2640

Hospital & facility affiliations

  • Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2301 Holmes St
Kansas City, MO 64108

Interoperability endpoints

  • Direct secure messaging: bzoller629492@direct.saint-lukes.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1982308375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 W 131ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644292400",
            "country_code": "US",
            "telephone_number": "816-632-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Excelsior Springs",
            "state": "MO",
            "postal_code": "640241182",
            "country_code": "US",
            "telephone_number": "816-630-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "BRADEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2025041574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.