NPIMap

Individual provider Active NPI

Bradley J. Palmer, D.O.

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1982635207
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0525765 Issued in KS
Practice address
7840 W 165TH St Ste 160
Overland Park, KS 66223-3021
Phone
(913) 373-2141
Fax
(913) 373-2146
NPI assigned
Jul 5, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0525765 KS Primary

Addresses

Primary practice location

7840 W 165TH St Ste 160
Overland Park, KS 66223-3021

Mailing address

7840 W 165TH St Ste 160
Overland Park, KS 66223-3021
Phone (913) 373-2141

Other identifiers 2

IdentifierTypeStateIssuer
S14000230OtherKSMEDICARE
100236180DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000629 KS Practitioner - Internal Medicine 2264575299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0525765KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

7301 E Frontage Rd
Ste 100
Merriam, KS 66204
Phone (913) 384-4040

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

7840 W 165th St
Overland Park, KS 66223
Phone (913) 236-6455

7840 W 165th St
Ste 160
Overland Park, KS 66223
Phone (913) 373-2141

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: bpalmer661272@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1982635207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-2141",
            "fax_number": "913-373-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-2141",
            "fax_number": "913-373-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0525765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S14000230",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236180D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.