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

Justin A Coogle, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1114480241

Justin A Coogle, MD is a Neurology with Special Qualifications in Child Neurology Physician in Kansas City, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
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

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Sw 10th Ave, Topeka, KS 66604-1301 — (785) 354-6000

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 2021032815 (MO)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 04-49494 (KS)

Record details

NPI number1114480241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2019
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address2401 Gillham Rd, Attn Provider Enrollment Dept, Kansas City, MO 64108-4619

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