Healthcare Provider Details

I. General information

NPI: 1073946539
Provider Name (Legal Business Name): BRIAN T SCHMIDT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 NALL AVE STE 200A
OVERLAND PARK KS
66211-2485
US

IV. Provider business mailing address

11340 NALL AVE STE 200A
OVERLAND PARK KS
66211-2485
US

V. Phone/Fax

Practice location:
  • Phone: 816-525-2840
  • Fax: 816-525-2841
Mailing address:
  • Phone: 816-525-2840
  • Fax: 816-525-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2015018012
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number12-00414
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: