Provider Demographics
NPI:1083715817
Name:SILVER, BRADD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADD
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 WASHINGTON ST
Mailing Address - Street 2:SUITE 6100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5961
Mailing Address - Country:US
Mailing Address - Phone:816-932-3470
Mailing Address - Fax:816-932-1383
Practice Address - Street 1:4321 WASHINGTON ST
Practice Address - Street 2:SUITE 6100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5961
Practice Address - Country:US
Practice Address - Phone:816-932-3470
Practice Address - Fax:816-932-1383
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-17355207RE0101X
MO2011002615207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100161680BMedicaid
MO201667615Medicaid
KSC50423Medicare UPIN
MO201667615Medicaid