MEDICARE: BRADLEY ALAN APPL M.D.

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
1	207Q00000X	Family Medicine Physician	21690	KS

General Provider Information

NPI Number	:	1770559494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY ALAN APPL M.D.

Provider Business Mailing Address
First Line	:	1420 S 42ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1952
Country	:	US
Telephone Number	:	913-831-1100
Fax Number	:	913-831-0827

Provider Business Practice Location Address
First Line	:	1420 S 42ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1952
Country	:	US
Telephone Number	:	913-831-1100
Fax Number	:	913-831-0827

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	10/02/2025

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