Provider Demographics
NPI:1871585026
Name:DAY, BRANDON S (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:S
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:PO BOX 219672
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9672
Mailing Address - Country:US
Mailing Address - Phone:816-781-7730
Mailing Address - Fax:816-415-1886
Practice Address - Street 1:2609 GLENN HENDREN DRIVE
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-4205
Practice Address - Country:US
Practice Address - Phone:816-781-7730
Practice Address - Fax:816-415-1886
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMD112739207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO3428747Medicare ID - Type Unspecified
MO203914619Medicaid
MOG86277Medicare UPIN