Healthcare Provider Details

I. General information

NPI: 1720008295
Provider Name (Legal Business Name): BRENT A. HRABIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BRENT A HRABIK M.D.

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 HOLMES RD STE 360
KANSAS CITY MO
64131-1167
US

IV. Provider business mailing address

6675 HOLMES RD STE 360
KANSAS CITY MO
64131-1167
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-7600
  • Fax: 816-276-7992
Mailing address:
  • Phone: 816-276-7600
  • Fax: 816-276-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-23129
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36938
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: