Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD A. MOUSE, DO
ActiveBRAD A. MOUSE, DO is a Family Medicine healthcare provider located in GRAIN VALLEY, Missouri. NPI 1588604979 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAIN VALLEY, MO
Registration Details
- NPI Number
- 1588604979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.177194137991 yrs)
- Last Updated
- Mar 30, 2015
- License
-
R9G82 (MO)
Practice Information
- Address
-
1101 NW PAMELA BLVDSUITE AGRAIN VALLEY, MO, 640297841Browse MO providers · Browse ZIP 64029
- Phone
- 8162951606
- Fax
- 8162951606
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAIN VALLEY, MO
| Name | Credential | NPI |
|---|---|---|
| RANDALL LEE CULBERTSON | DO | 1083610414 |
| RACHEL E GORDON | MD | 1891024824 |
| JENNIFER LYNN KABERLINE | MD | 1841878766 |
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.