DR. BRADLEY H KOFFMAN (NPI# 1659334282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659334282 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY H KOFFMAN |
| Credential | MD |
| Practice Address |
5721 W 119th St Radiation Oncology Dept Overland Park KS 66209-3722 |
| Mailing Address |
6601 Winchester Ave Suite 230 Kansas City MO 64133-4677 |
| Practice Telephone | 9134986270 |
| Practice Fax Number | 9134986619 |
| Mailing Telephone | 8163132677 |
| Mailing Fax Number | 8163136000 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
04-29308 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2001018673 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205378607 | 05 | |
| KS | 2087439201 | 05 |
| Street Address |
5721 W 119TH ST RADIATION ONCOLOGY DEPT |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799557 | William Martin Chase | Radiology | 5721 W 119th St, Overland Park, KS 66209-3722 | 2005-06-10 |
| 1912520446 | Anna Polodna | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-05-19 |
| 1356974679 | Wound Integrity Kansas Pa | Family Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-02-14 |
| 1407497720 | Krystal Marie Katzer | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-10-08 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1487112215 | Elizabeth Allison Ruth Graham | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-03-11 |
| 1730646647 | Allison Hayden Bertken | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-02-27 |
| 1710454327 | Overland Park Kidney, LLC | Internal Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-11-01 |
| 1659878874 | Jonathan E Mowrey | Student in an Organized Health Care Education/Training Program | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-04-13 |
| 1710496351 | Katherine Wilson | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3722 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105603 | Advanced Radiation Center of Kansas City LLC | Radiology | 6427 W 119th St, Suite G 1-4, Overland Park, KS 66209-2734 | 2013-07-03 |
| 1902877673 | Kenon S. Qamar | Radiology | 10701 Nall Ave Ste 100, Overland Park, KS 66211-1244 | 2006-01-30 |
| 1285989590 | Carolyn K Savioz | Radiology | 12200 W 110th St, Overland Park, KS 66210-4045 | 2012-07-24 |
| 1689726895 | Robyn M Hart | Radiology | 10701 Nall Ave Ste 100, Overland Park, KS 66211-1244 | 2007-01-17 |
| 1639138589 | Jaya Vishwanath Soni | Radiology | 12140 Nall Ave, Ste 200, Overland Park, KS 66209-2503 | 2006-03-20 |
| 1730152679 | James R. Coster | Radiology | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-02-10 |
| 1326019035 | Vickie L. Massey | Radiology | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851821136 | Wichita Rt Associates LLC | Radiology | 9300 E 29th St N Ste 350, Wichita, KS 67226-2179 | 2017-06-19 |
| 1831501642 | Pro Physicians Clinic Pa | Radiology | 2077 N Webb Rd, Wichita, KS 67206-3411 | 2014-05-28 |
| 1265873905 | Yazan Asad Abuodeh | Radiology | 511 S Santa Fe Ave Ste A, Salina, KS 67401-4145 | 2013-07-10 |
| 1285948810 | Ronny L Rotondo | Radiology | 4001 Rainbow Blvd # Ms 4033, Kansas City, KS 66160-8504 | 2010-08-06 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1568698561 | Gregory Gan | Radiology | 4001 Rainbow Blvd # Ms 4001, Kansas City, KS 66160-4374 | 2009-06-04 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1780720607 | Kansas University Physicians Inc | Radiology | G006 Radiation Oncology, Mail Stop 4033 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1265510309 | Ronald C Chen | Radiology | 4001 Rainbow Blvd, Ms 4033, Kansas City, KS 66160-2539 | 2006-11-02 |
| 1093818676 | Nuclear Oncology Pa | Radiology | 718 Main, Suite 202, Hays, KS 67601 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
Please comment or provide details below to improve the information on DR. BRADLEY H KOFFMAN.
| 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.