BRETT R HAILEY NPI 1063411916

NPI Information

NPI: 1063411916
Provider Name: BRETT R HAILEY
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Individual
PECOS Registration: Yes
Address: 9100 W 74TH ST
SHAWNEE MISSION, KS
ZIP 66204
Phone: (913) 676-2214

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NPI Details

Brett R Hailey is an emergency medical services emergency medicine in Shawnee Mission, KS. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Brett R Hailey NPI is 1063411916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9100 W 74TH ST
SHAWNEE MISSION, KS
ZIP 66204-004
Phone: (913) 676-2214

The NPI 1063411916 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Emergency department visit for problem of high severity (HCPCS:99284)
Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Emergency department visit for problem of moderate severity (HCPCS:99283)
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 7/21/2005 and was last updated on 6/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		115613	MISSOURI	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	MD115613	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27361069	OTHER	KANSAS	BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
2	100403970C	MEDICAID	KANSAS
3	27361039	OTHER		BLUE CROSS BLUE SHIELD
4	27361059	OTHER	KANSAS	BCBS OF KC MO GROUP # 30492021 ER PHYSICIANS SOUTH PA
5	P00651782	OTHER	KANSAS	RR MEDICARE GROUP CG8899
6	P00721307	OTHER	KANSAS	RR MEDICARE GROUP DC6712
7	100403970A	MEDICAID	KANSAS
8	100403970B	MEDICAID	KANSAS
9	204743017	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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