BRAYDEN WILLIS D.O.
NPI 1811420474
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, KS

Q: What is Brayden Willis's NPI number?

The NPI number for Brayden Willis is 1811420474. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Brayden Willis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Brayden Willis was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 10, 2017PECOS Enrolled

3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brayden Willis D.o. NPPES

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

BRAYDEN WILLIS D.O. (NPI 1811420474) is an individual child & adolescent psychiatry provider in Kansas City, Kansas, licensed in Kansas (05-46669) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811420474

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameBRAYDEN WILLISCredential: D.O.

Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500

Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-5000

Phone(913) 588-5000

Sole ProprietorNo

Enumeration DateApril 10, 2017

Last NPPES UpdateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1811420474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in KS · 05-46669

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3901 RAINBOW BLVD, Kansas City, KS 66160

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brayden Willis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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