Provider Demographics
NPI:1598761520
Name:METZ, BRIAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:METZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 874480
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64187-0001
Mailing Address - Country:US
Mailing Address - Phone:913-764-2737
Mailing Address - Fax:913-764-7502
Practice Address - Street 1:20375 W 151ST ST
Practice Address - Street 2:SUITE 106A
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5353
Practice Address - Country:US
Practice Address - Phone:913-764-2737
Practice Address - Fax:913-764-7502
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24706207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20895017OtherBCBS KC
MOD444228OtherKC MEDICARE
MO101318OtherBCBS
404910OtherHEALTHLINK
MO040007705OtherRR MEDICARE
MO101318OtherBCBS
404910OtherHEALTHLINK