Individual
DR. BRENDAN PATRICK COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2453
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2008009423
MO
2085R0202X
Diagnostic Radiology Physician
A98720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200573670A
—
KS
01
—
W19000109
MEDICARE
MO
Enumeration date
04/23/2007
Last updated
11/14/2017
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