Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD039441 | DC |
N | 111NI0900X | Internist | MD039441 | DC |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2017011688 | MO |
N | 207RC0000X | Internist - Cardiovascular Disease | 2017011688 | MO |
NPI | 1982920534 |
---|---|
Provider Name | Brett Wesley Sperry |
First Address | Kansas City, MO 64131-0001 |
Second Address | Kansas City, MO 64111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 06/07/2018 |