Storm, Bradley W
Storm, Bradley W is an individual health care provider with primary practice located at 20375 W 151St St #370 Premier Plastic Surgery, Olathe KS 66061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Storm, Bradley W can be contacted via phone (913) 782-0707.Contact Information
Primary practice address
20375 W 151St St #370 Premier Plastic Surgery
Olathe KS 66061
Phone: (913) 782-0707
Fax: (913) 782-5813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 0423438 | Kansas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 0423438 | Kansas |
Profile Details
| NPI number | 1457332454 |
|---|---|
| LBN Legal business name | Storm, Bradley W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457332454 | NPPES |
| Kansas | Other | 1308048 | UNITED HEALTH CARE |
| Kansas | Other | 16274034 | UNITED HEALTH CARE |
| Kansas | MEDICAID | 10012005A | UNITED HEALTH CARE |
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