Kimberly Michelle Biichle, M.D
Individual provider Active NPI Family Medicine Physician · Kenansville, NC
NPI 1003228628 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1003228628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2021-01379 (NC)
- Practice address
- 748 Kenansville Byp
Kenansville, NC 28349-9064 - Phone
- (910) 296-8080
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
748 Kenansville Byp
Kenansville, NC 28349-9064
Phone (910) 296-8080
Hospital & facility affiliations
- Vidant Duplin Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250603004398 | NC | Practitioner - Family Practice | 4587956917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01379 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Premise Health of North Carolina Medical, P.C | Past |
Accepting new patients | |
| Premiere Care Providers LLC | Internal Medicine | Past |
Accepting new patients |
| Abu Azizullah MD PA | Internal Medicine | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
748 Kenansville Byp
Kenansville, NC 28349
Phone (910) 275-0050
Interoperability endpoints
- kbiichle355829@direct.hfhs.org
- kbiichle@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-01379 | NC | Yes |
Addresses
Primary practice location
748 Kenansville Byp
Kenansville, NC 28349-9064
Mailing address
748 Kenansville Byp
Kenansville, NC 28349-9064
Phone (910) 296-8080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003228628 | Medicaid | MI |
Other providers in Kenansville, NC
- Mohsen S. Bahna
- Jim Jaralene Porquez Banno
- Nathaniel M Barrett
- John H. Bartley
- Stephanie Ellen Best
- Elizabeth Ivey Blair
- Amos Quinn Brinson Jr.
- Carie M Brown
- Benjamin Lloyd Byerly
- Felice Noel Carlton
All providers in Kenansville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.