Individual
BRADLEY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105949
MO
208M00000X
Hospitalist Physician
04-27624
KS
208M00000X
Hospitalist Physician
Primary
105949
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295540A
—
KS
05
—
208883702
—
MO
Enumeration date
04/27/2006
Last updated
03/02/2026
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