Individual
JOHN BRADLEY MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, PROFESSIONAL SERVICES OF KU HOSPITAL, KANSAS CITY, KS 66160-0001
(913) 588-6504
(913) 588-9104
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-27094
KS
207P00000X
Emergency Medicine Physician
2009033375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080175970
RR MEDICARE
—
01
—
10001758001
CHP PSKU
—
05
—
100366390C
—
KS
05
—
202299129
—
MO
01
—
26732025
BCBS PROVIDER NUMBER
—
01
—
481202402
PSKU TAX ID
—
01
—
658471
FIRSTGUARD
—
01
—
7166132
AETNA
—
Enumeration date
08/31/2006
Last updated
06/25/2020
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