Provider Demographics
NPI:1558494807
Name:VINCE, BRADLEY DUNCAN (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:DUNCAN
Last Name:VINCE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 W 91ST STREET
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212
Mailing Address - Country:US
Mailing Address - Phone:913-333-3000
Mailing Address - Fax:913-696-1640
Practice Address - Street 1:7401 W 91ST STREET
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212
Practice Address - Country:US
Practice Address - Phone:913-333-3000
Practice Address - Fax:913-696-1640
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-285021744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study