1. Home
  2. Directory
  3. Missouri
  4. Liberty
  5. Anesthesiologist Assistant
  6. NPI Profile

BRADY CANNON
NPI 1801265095
Anesthesiologist Assistant in Liberty, MO

Active since September 18, 2015Accepts Medicare Assignment
2525 GLENN HENDREN DR, LIBERTY, MO 64068(816) 781-7200(816) 792-7196 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brady Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADY CANNON (NPI 1801265095) is an individual anesthesiologist assistant in Liberty, Missouri, licensed in Missouri (2015033276) and active in the NPI registry since September 2015. He is affiliated with New Liberty Hospital District and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801265095
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameBRADY CANNON
Location Address2525 GLENN HENDREN DRLiberty, MO 64068-9625
Mailing AddressPo Box 804408Kansas City, MO 64180-4408 · (913) 647-4100 · Fax (913) 647-4120
Phone(816) 781-7200
Fax(816) 792-7196
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 18, 2015
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1801265095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MO · 2015033276
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2525 GLENN HENDREN DR, Liberty, MO 64068
Open in Google Maps ↗

Other Identifiers 3

Other57687015MO · Bcbs Kc
Medicaid910026513MO
OtherP02049871MO · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brady Cannon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941502348
PECOS Enrollment IDI20151231000390

Medicare Billing Reassignments

2

Medicare enrollment records show Brady Cannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Anesthetic Care Inc
Same address
Anesthesiology
2525 GLENN HENDREN DR
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1922053461 (816) 461-8288
Ozark Anesthesia Associates, Inc.
160 mi
Anesthesiology
1000 E PRIMROSE ST STE 520
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
NPI 1831109586 (417) 269-4550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANNE MARX D.O.
Internal Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
DR. JACOB SEILS DO
Hospitalist
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
GUSSIE SHEMWELL
Nurse Practitioner (Family)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
ALEXSIS ANN PERDUE C-AA
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 792-7037
DR. THERON B BARR DO
Emergency Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 792-7000
DR. JOSEPH CARESIO MD
Radiology (Vascular & Interventional Radiology)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 407-2038
POOJA A PATEL AA
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
MISS JULIE ANN HOUGH NP-C
Nurse Practitioner (Family)
2525 GLENN HENDREN DR, PAIN MANAGEMENT
LIBERTY, MO 64068
Clay County (816) 781-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Cannon's NPI number?

The NPI number for Brady Cannon is 1801265095. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is Brady Cannon located?

Brady Cannon practices at 2525 Glenn Hendren Dr, Liberty, MO 64068. The listed phone number is (816) 781-7200.

What is Brady Cannon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Brady Cannon enrolled in Medicare?

Yes. Brady Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brady Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brady Cannon reassigns Medicare benefits to 2 organizations: Professional Anesthetic Care Inc (Liberty, MO) and Ozark Anesthesia Associates, Inc. (Springfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brady Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brady Cannon accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Brady Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brady Cannon affiliated with any hospitals?

According to CMS data, Brady Cannon is affiliated with New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Brady Cannon was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.