Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bert E Park, MD

Individual provider Neurological Surgery Physician · NPI 1407841851

Bert E Park, MD is a Neurological Surgery Physician in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 W Truman Rd Ste 607
Independence, MO 64050-3436
Phone: (816) 833-0466
Fax: (816) 833-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence R7A63 (MO)

Record details

NPI number1407841851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESAugust 14, 2007
Mailing address1515 W Truman Rd, Suite 607, Independence, MO 64050-3436

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