Brescia, Samuel Timothy

Brescia, Samuel Timothy is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Brescia, Samuel Timothy can be contacted via phone (816) 234-3255.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3255
Fax: (816) 234-3701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 04-37866 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-37866 Kansas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X DR.0046762 Colorado

Profile Details

NPI number 1164608535
LBN Legal business name Brescia, Samuel Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Feb 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164608535 NPPES
Colorado MEDICAID 88874745

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