Provider Demographics
NPI:1336114149
Name:CONSULTANTS IN PULMONARY MEDICINE PA
Entity Type:Organization
Organization Name:CONSULTANTS IN PULMONARY MEDICINE PA
Other - Org Name:CONSULTANTS IN PULMONARY MEDICINE PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-829-0446
Mailing Address - Street 1:20375 W 151ST ST
Mailing Address - Street 2:SUITE 451
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7218
Mailing Address - Country:US
Mailing Address - Phone:913-829-0446
Mailing Address - Fax:913-829-7829
Practice Address - Street 1:20375 W 151ST ST
Practice Address - Street 2:SUITE 451
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7218
Practice Address - Country:US
Practice Address - Phone:913-829-0446
Practice Address - Fax:913-829-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100215880AMedicaid
KS100215880AMedicaid
MOCU0001Medicare PIN