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NPI Code Detail

MEDICARE: NICHOLAS BRADY BRATTEN MD

MEDICARE: NICHOLAS BRADY BRATTEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2018007282MO

General Provider Information

NPI Number : 1881043693
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS BRADY BRATTEN MD
Provider Business Mailing Address
First Line : 901 E 104TH ST # MS 400S
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3220
Country : US
Telephone Number : 816-932-0340
Fax Number : 816-932-3148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 06/02/2026

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Directions to “ NICHOLAS BRADY BRATTEN MD” Practice Location

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