Provider Demographics
NPI:1689773772
Name:BRADLEY A. APPL, M.D., P.C.
Entity Type:Organization
Organization Name:BRADLEY A. APPL, M.D., P.C.
Other - Org Name:I-635 PRIMARY CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:APPL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-831-1100
Mailing Address - Street 1:1420 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-1952
Mailing Address - Country:US
Mailing Address - Phone:913-831-1100
Mailing Address - Fax:913-831-0827
Practice Address - Street 1:1420 S 42ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-1952
Practice Address - Country:US
Practice Address - Phone:913-831-1100
Practice Address - Fax:913-831-0827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21690207Q00000X
MOR&E24207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
332282OtherHEALTHLINK
11783048OtherBCBSKC
CI3275OtherRAILROAD MEDICARE
CI3275OtherRAILROAD MEDICARE