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

Brady Cannon

Individual provider Anesthesiologist Assistant · NPI 1801265095

Brady Cannon is an Anesthesiology Assistant in Liberty, Missouri. Qualified in 2015, 11 years ago. Practices with Professional Anesthetic Care Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2015033276 (MO)

Record details

NPI number1801265095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 18, 2015
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing addressPo Box 804408, Kansas City, MO 64180-4408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Professional Anesthetic Care Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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