Bradley R Dyer in Saint Joseph - Internal Medicine

Bradley R Dyer - NPI 1023214509

Bradley R Dyer is a Internal Medicine in Saint Joseph, Missouri. Bradley R Dyer practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bradley R Dyer is 1023214509. The last update date is 2017-10-19.

Bradley R Dyer's current location address is 5325 Faraon St, Saint Joseph, Missouri. You can contact this provider via phone number 8162716406 and fax number 8162717986. The mailing address for Bradley R Dyer is 5325 Faraon St, Saint Joseph, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley R Dyer
Address 5325 Faraon St, Saint Joseph, Missouri
Phone Number 8162716406
Fax Number 8162717986
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023214509
Provider Enumeration Date 2007-06-22
Last Updated Date 2017-10-19

Provider Mailing Address Detail

Address 5325 Faraon St
City Saint Joseph
State Missouri (MO)
Post Code 645063488
Phone Number 8162716406
Fax Number 8162717986

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2015000100
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1023214509 MO --
200865660C KS --
P01434619 MO RR MEDICARE

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FAQs about Bradley R Dyer

What is the unique 10-digit identification code assigned to Bradley R Dyer by the Centers for Medicare & Medicaid Services?

The Bradley R Dyer has been issued the NPI (National Provider Identifier) 1023214509, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Bradley R Dyer's facilities are geographically located?

The facilities of Bradley R Dyer are physically situated at the following location: 5325 Faraon St, Saint Joseph, MO, 645063488.

What is the Bradley R Dyer's area of specialization and corresponding taxonomy classification?

The Bradley R Dyer's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Bradley R Dyer receive the assignment of its 1023214509 from the Centers for Medicare & Medicaid Services?

The Bradley R Dyer was issued its 1023214509 by the Centers for Medicare & Medicaid Services on 2007-06-22.

As of what date were the details related to Bradley R Dyer most recently updated or revised?

The information pertaining to Bradley R Dyer, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-19.

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