Individual provider · NPI-1
Mary Elizabeth Bradsky, DO
Internal Medicine · Kansas City, KS
NPI number1457092884
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1457092884
- Entity type
- Individual (NPI-1)
- Name
- Mary Elizabeth Bradsky
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2022
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 80424 | MN | Yes |
| 208M00000X | Hospitalist | 80424 | MN |
Practice location
3901 Rainbow BlvdKansas City, KS 66160-8500
Phone 913-588-3974 · Fax 913-588-6055
Mailing address
3901 Rainbow BlvdKansas City, KS 66160-8500
Phone 913-588-3974 · Fax 913-588-6055
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