James Kent Wyllie (NPI# 1629392071, PAC ID# 6507993680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1629392071 |
| PAC ID by PECOS | 6507993680 |
| Professional Enrollment ID | I20100421000602 |
| Full Name | James Kent Wyllie |
| Organization Legal Name | BRIDGE INTEGRATIVE MEDICINE LLC |
| Address |
305 Nw Englewood Ct Suite 200 Gladstone MO 64118-4000 |
| Phone Number | 8164545433 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9638426836 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 | 8164545433 | BRIDGE INTEGRATIVE MEDICINE LLC |
| Organization Legal Name | BRIDGE INTEGRATIVE MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Cramer | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Vicki J Keck | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Barbara L Atkinson | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Stephanie R Scott | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Bennett Micah Wyllie | Chiropractic | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Street Address |
305 NW ENGLEWOOD CT SUITE 200 |
| City | GLADSTONE |
| State | MO |
| Zip | 64118-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmond M Young | Psychiatry | Comprehensive Psychiatric Associates, LLC | 305 Nw Englewood Ct, Suite 300, Gladstone, MO 64118-4000 |
| Lisa A Cramer | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Vicki J Keck | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Bruce M Rippee | Chiropractic | Chiropractic Life Center PC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Christopher M Mcclenney | Chiropractic | Chiropractic Life Center PC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Barbara L Atkinson | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Stephanie R Scott | Nurse Practitioner | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Bennett Micah Wyllie | Chiropractic | Bridge Integrative Medicine LLC | 305 Nw Englewood Ct, Suite 200, Gladstone, MO 64118-4000 |
| Brian D Barash | Psychiatry | Comprehensive Psychiatric Associates, LLC | 305 Nw Englewood Ct, Suite 300, Gladstone, MO 64118-4000 |
| Asim Ulusarac | Psychiatry | Comprehensive Psychiatric Associates, LLC | 305 Nw Englewood Ct, Suite 300, Gladstone, MO 64118-4000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake M Overly | Chiropractic | 8002 N Oak Trfy, Suite 112, Kansas City, MO 64118-1272 | |
| Mary Jo Hegstrom | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Jessica Elise Winberry | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Angela Marie Nickell | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Kayla Ubel Lingenfelter | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Jaron Thomas Perry | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Vanessa Gail Shaw | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Ashley Marie Fotiadis | Physical Therapy | Serc Rehabilitation Partners LLC | 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424 |
| Frank P Siraguso Jr. | Chiropractic | 7825 N Oak Trfy, Kansas City, MO 64118-1426 | |
| Christina M Ebert | Clinical Social Worker | 21 Nw 78th Ter, Kansas City, MO 64118-1456 | |
| Find all physicians in zip 64118 | |||
| City | GLADSTONE |
| Zip Code | 64118 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GLADSTONE + CHIROPRACTIC |
Please comment or provide details below to improve the information on James Kent Wyllie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.