DOUGLAS L BRADLEY (MD) – Family Medicine Physician, NPI 1689669301

Family Medicine Physician

DOUGLAS L BRADLEY (MD) is a healthcare provider. based in Belton, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD R5B55 (MO). The NPI Number for DOUGLAS L BRADLEY (MD) is 1689669301

Main info

Male

46 Years Of Experience

Accepts Medicare Assignment

Name

DOUGLAS L BRADLEY (MD)

NPI

1689669301

Phone

(816) 331-4000

Address

17067 S OUTER RD

Enumeration Date

19 September 2005

Last Update Date

24 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8163314000

Graduation Year

1980 (46 years ago)

PAC ID

1153459912

Group Practice PAC ID

5193717601

Professional Enrollment ID

I20100514000714

Contacts

Secure Messaging

DOUGLAS.BRADLEY@hca2.eclinicaldirectplus.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DOUGLAS L BRADLEY (MD)

South Outer Road, Belton, Cass County, Missouri, 64012, United States
SUITE 100
BELTON, MO 640122165
Phone: (816) 331-4000
Fax: (816) 331-3626
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 64012)

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Provider's Procedures

DOUGLAS L BRADLEY (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	MO	85610	Blood test, clotting time	144	22
FAMILY MEDICINE	MO	90670	Pneumococcal vaccine for injection into muscle	24	24

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: 5193717601View full group profile

Name	Specialty	State
ZANDRA GOTTMAN (APRN)	-	MO
DAVID R WILLIAMS (MD)	-	MO
DR. KENT A BOGNER (DO)	Family Practice	MO
MRS. DALEEN MARIE ROYER (FNP)	Nurse Practitioner	KS
CHANTEAL L FINDLING (DO)	Family Practice	WI
MRS. RACHELE WIENECKE (FNP)	Nurse Practitioner	MO
MRS. MARLA LYNN TUCKER (NP)	Nurse Practitioner	MO
DR. OSSAMA AL-ASSAFEEN (MD)	Internal Medicine	MO
KIRK D RIDLEY (MD)	Family Practice	MO