MARY ELIZABETH BRADSKY (DO) – Internal Medicine Physician, NPI 1457092884

MARY ELIZABETH BRADSKY (DO) is a healthcare provider. based in Kansas city, Kansas. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 80424 (MN). The NPI Number for MARY ELIZABETH BRADSKY (DO) is 1457092884

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH BRADSKY (DO)
NPI
1457092884
Phone
(913) 588-3974
Address
3901 RAINBOW BLVD
Enumeration Date
7 April 2022
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187323311
Graduation Year
2022 (4 years ago)
PAC ID
1153706056
Group Practice PAC ID
0345146510
Professional Enrollment ID
I20250729001589
Address ID
MN564701431PA600XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for MARY ELIZABETH BRADSKY (DO)

  • 3901 RAINBOW BLVD

    KANSAS CITY, KS 661608500

    Phone: (913) 588-3974

    Fax: (913) 588-6055

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250729001589IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345146510View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMN
Emergency MedicineMN
Emergency MedicineCO
Diagnostic RadiologyND
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineMN
Emergency MedicineMN
-MN
Hospice/Palliative Care, Internal Medicine, HospitalistMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does MARY ELIZABETH BRADSKY (DO) have a public NPI I can cite?
Public records show MARY ELIZABETH BRADSKY (DO) under NPI 1457092884.
Quick check: is MARY ELIZABETH BRADSKY (DO) active?
Public NPPES data shows MARY ELIZABETH BRADSKY (DO) with an active NPI status right now.
How should patients interpret MARY ELIZABETH BRADSKY (DO)'s specialty?
The extract shows Internal Medicine Physician for MARY ELIZABETH BRADSKY (DO). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY ELIZABETH BRADSKY (DO)?
MARY ELIZABETH BRADSKY (DO) is associated with Kansas City, Kansas in the same public data insurers reference.
Can I export MARY ELIZABETH BRADSKY (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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