MR. ZACHARY LENNON BRADLEY (NPI# 1538446018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538446018 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY LENNON BRADLEY |
| Credential | NREMT |
| Practice Address |
400 E 9th St Ste 0040 Vha- Emergency Management Kansas City MO 64106-2607 |
| Practice Telephone | 8005251483 |
| Practice Fax Number | 8168420885 |
| Mailing Telephone | 8005251483 |
| Mailing Fax Number | 8168420885 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | Emergency Medical Service Providers | ||
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NREMT | E1303796 | 01 |
| Street Address |
400 E 9TH ST STE 0040 VHA- EMERGENCY MANAGEMENT |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64106-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813879 | Jayhawk Primary Care Inc | Clinic/Center | 1403 Grand Blvd, Kansas City, MO 64106 | 2015-02-17 |
| 1538509724 | William Ballew Mccollum | Independent Medical Examiner | 601 E. 12th St., 12th Floor, Kansas City, MO 64106 | 2013-07-02 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1124187760 | State of Missouri | Day Training, Developmentally Disabled Services | 821 E Admiral Blvd, Kansas City, MO 64106 | 2006-12-08 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1487661369 | Steve A Rueb | Dentist | 1125 Grand Blvd, Suite 1313, Kansas City, MO 64106 | 2006-08-02 |
| 1275933103 | Comassion Home Care, LLC | Home Health | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1487054284 | Compassion Home Care, LLC | In Home Supportive Care | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1689803561 | Christina Marie Maenle | Registered Nurse | 3901 Rainbow, Suite G600, Kansas City, KS 64106 | 2009-07-13 |
| 1609025782 | Concentra Health Services, Inc. | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2008-09-15 |
| Find all providers in zip 64106 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821339268 | Donald Gordon Berger II | Military Health Care Provider | 208 March Dr, Whiteman Afb, MO 65305-1214 | 2013-03-11 |
| 1942568662 | Jacob Daniel Rosko | Military Health Care Provider | 539 Se Dd Hwy Lot 5, Warrensburg, MO 64093-8300 | 2012-05-01 |
| 1356667687 | Benjamen E Pennington | Military Health Care Provider | 310 Houx Dr, Whiteman Afb, MO 65305-1130 | 2010-04-12 |
| 1417576018 | Zachory Woodard | Military Health Care Provider | 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 | 2020-04-13 |
| 1992203764 | Dylan John Kielcheski | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2018-01-26 |
| 1689064875 | Merlin Jewell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2015-01-27 |
| 1346670551 | Jessica A. Pownell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2013-11-25 |
| 1598061269 | Marcus L Bell | Military Health Care Provider | 126 Missouri Ave, Fort Leonard Wood, MO 65473 | 2011-01-28 |
| 1316173313 | Andrea Darcy Richards | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-06-04 |
| 1881829497 | Shane A Lacaillade | Military Health Care Provider | 331 Sijan Ave, Whiteman Afb, MO 65305-1269 | 2009-05-27 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.