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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY W STORM, MD

Deactivated

BRADLEY W STORM, MD is a Plastic and Reconstructive Surgery healthcare provider located in OLATHE, Kansas. NPI 1457332454 is deactivated in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · OLATHE, KS

This NPI has been deactivated. The record was deactivated on November 8, 2005. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1457332454
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2005
Last Updated
Aug 3, 2011
Deactivated
Nov 8, 2005
Licenses
0423438 (KS)
0423438 (KS)

Practice Information

Address
20375 W 151ST ST #370
PREMIER PLASTIC SURGERY
OLATHE, KS, 66061
Browse KS providers · Browse ZIP 66061
Phone
9137820707
Fax
9137825813
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in OLATHE, KS

Name Credential NPI
JOHN B MOORE IV MD 1316928229
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.