Brad A. Mouse in Grain Valley - Family Medicine
Brad A. Mouse - NPI 1588604979
Brad A. Mouse is a Family Medicine in Grain Valley, Missouri. Brad A. Mouse practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brad A. Mouse is 1588604979. The last update date is 2015-03-30.
Brad A. Mouse's current location address is 1101 Nw Pamela Blvd, Grain Valley, Missouri. You can contact this provider via phone number 8162951606 and fax number 8162951606. The mailing address for Brad A. Mouse is 1101 Nw Pamela Blvd, Grain Valley, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad A. Mouse |
|---|---|
| Address | 1101 Nw Pamela Blvd, Grain Valley, Missouri |
| Phone Number | 8162951606 |
| Fax Number | 8162951606 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1588604979 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2015-03-30 |
Provider Mailing Address Detail
| Address | 1101 Nw Pamela Blvd |
|---|---|
| City | Grain Valley |
| State | Missouri (MO) |
| Post Code | 640297841 |
| Phone Number | 8162951606 |
| Fax Number | 8162951606 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | R9G82 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18960020 | CFU BCBS | ||
| 13384041 | BCBS PROVIDER NUMBER | ||
| 80148316 | MO | RR MEDICARE | |
| 481159444 | TAX ID | ||
| 2057742 | AETNA | ||
| 1588604979 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brad A. Mouse by the Centers for Medicare & Medicaid Services (CMS)?
The Brad A. Mouse has been assigned the NPI (National Provider Identifier) 1588604979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brad A. Mouse?
The Brad A. Mouse is situated at 1101 Nw Pamela Blvd, in the city of Grain Valley, state of MO, with the zip code 640297841.
What is the Brad A. Mouse's specialty and taxonomy code?
The Brad A. Mouse's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Brad A. Mouse receive its 1588604979?
The Brad A. Mouse was issued its 1588604979 on 2006-06-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Brad A. Mouse, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brad A. Mouse, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-30.