Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 04-17355 | KS |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2011002615 | MO |
NPI | 1083715817 |
---|---|
Provider Name | Dr. Bradd Silver |
First Address | Kansas City, MO 64111-5961 |
Second Address | Kansas City, MO 64111-5961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 06/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100161680B | (05) | KS |
201667615 | (05) | MO |
C50423 | (02) | KS |