MEDICARE: MR. ZACHARY LENNON BRADLEY NREMT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	146L00000X	Paramedic
3	174H00000X	Health Educator
4	246RP1900X	Phlebotomy Technician
5	374700000X	Technician
6	376K00000X	Nurse's Aide
7	1710I1003X	Independent Duty Medical Technicians

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E1303796	OTHER		NREMT

General Provider Information

NPI Number	:	1538446018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZACHARY LENNON BRADLEY NREMT

Provider Business Mailing Address
First Line	:	395 BIDDLE BLVD BLDG 2101
Second Line	:
City	:	FORT LEAVENWORTH
State	:	KS
Zip	:	66027-2307
Country	:	US
Telephone Number	:	816-701-3213
Fax Number	:	913-684-2877

Provider Business Practice Location Address
First Line	:	400 E 9TH ST STE 0040
Second Line	:	VHA- EMERGENCY MANAGEMENT
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-2607
Country	:	US
Telephone Number	:	800-525-1483
Fax Number	:	816-842-0885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2011
Last Update Date	:	08/30/2021

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Directions to “ MR. ZACHARY LENNON BRADLEY NREMT” Practice Location

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