Individual
DR. MARCI A BRECHEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3220
(816) 691-5201
(816) 346-7063
Mailing address
PO BOX 419380, DEPT. 128, KANSAS CITY, MO 64141-6380
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0428259
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2003001821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033154521
—
MO
05
—
200666240A
—
KS
01
—
32781016
BCBSKC
MO
01
—
7703444
AETNA
MO
01
—
P00027275
RR MEDICARE
MO
Enumeration date
06/18/2006
Last updated
02/25/2015
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