Individual provider Active NPI

Kent R Bradley, MD

  • Obstetrics & Gynecology Physician
  • Newton, KS
National Provider Identifier
1992816300
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0424654 Issued in KS
Practice address
700 Medical Center Dr
Newton, KS 67114-9013
Phone
(316) 283-4153
Fax
(316) 282-0550
NPI assigned
Aug 31, 2006
Last updated
May 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0424654 KS Primary

Addresses

Primary practice location

700 Medical Center Dr
Newton, KS 67114-9013

Mailing address

700 Medical Center Dr
Suite 120
Newton, KS 67114-9013
Phone (316) 283-4153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20101015000360 KS Practitioner - Obstetrics/Gynecology 0143253344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Womens Health PAGroup PAC ID 7214903814, 28 clinicians

Practice addresses (Care Compare)

3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234

700 Medical Ctr Dr
Suite 120
Newton, KS 67114-9016
Phone (316) 283-4153

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0424654KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Womens Health PA Obstetrics & Gynecology CurrentSince Jan 13, 1997 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Newton Healthcare Corporation Past Accepting new patients

Locations

700 Medical Center Dr
Ste 120
Newton, KS 67114
Phone (316) 283-4153

3232 E Murdock St
Wichita, KS 67208
Phone (316) 681-0251

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kent.bradley.p1@direct.awhobgyn.nextgenshare.com
  • Direct secure messaging: kent.bradley@khindirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1992816300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "SUITE 120",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-4153",
            "fax_number": "316-282-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-4153",
            "fax_number": "316-282-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KENT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0424654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.