Brett R Hailey
Emergency Physician Emergency Medical Services
9100 W 74th St
Shawnee Mission
, Kansas 66204-4004
Brett R Hailey
Emergency Physician Emergency Medical Services
9100 W 74th St
Shawnee Mission
, Kansas 66204-4004
(800) 968-6866
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Brett R Hailey
- Po Box 2747
- Shawnee Mission, KS
- Zip : 66201-2747
- Phone : (800) 968-6866
Second Address
- Brett R Hailey
- 9100 W 74th St
- Shawnee Mission, KS
- Zip : 66204-4004
- Phone : (913) 676-2214
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 115613 | MO |
| Y | 207PE0004X | Emergency Medical Services | MD115613 | MO |
National Provider Identifier
| NPI | 1063411916 |
|---|---|
| Provider Name | Brett R Hailey |
| First Address | Shawnee Mission, KS 66201-2747 |
| Second Address | Shawnee Mission, KS 66204-4004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 30/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100403970A | (05) | KS |
| 100403970B | (05) | KS |
| 100403970C | (05) | KS |
| 204743017 | (05) | MO |
| 27361039 | BLUE CROSS BLUE SHIELD (01) | |
| 27361059 | BCBS OF KC MO GROUP # 30492021 ER PHYSICIANS SOUTH PA (01) | KS |
| 27361069 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS (01) | KS |
| H25655 | (02) | MO |
| P00651782 | RR MEDICARE GROUP CG8899 (01) | KS |
| P00721307 | RR MEDICARE GROUP DC6712 (01) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.