IndividualActive
Brandon Bacon, MD
NPI 1497288476 · Surgery Physician · Kansas City, MO
Provider details
- NPI number
- 1497288476
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2022030605 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2301 Holmes St
Kansas City, MO 64108-2640
Phone: (816) 404-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Holmes St
Kansas City, MO 64108-2640
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.