Active NPI
Kendall Bruce Eckert, DR, ND, RCR
- Specialist
- Largo, FL
National Provider Identifier
1043498934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- RCR0000000082
- Practice address
- 4209 Imperial Palm CT
Largo, FL 33771-1616 - Phone
- (727) 286-6342
- Fax
- (727) 286-6342
- NPI assigned
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RCR0000000082 | TN | Primary |
| Naturopath | 175F00000X | ND | TN |
Addresses
Primary practice location
4209 Imperial Palm CT
Largo, FL 33771-1616
Mailing address
4209 Imperial Palm CT
Largo, FL 33771-1616
Phone (727) 286-6342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCR0000000082 | TN | MD | Specialist |
| ND | TN | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1043498934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 IMPERIAL PALM CT",
"city": "LARGO",
"state": "FL",
"postal_code": "337711616",
"telephone_number": "727-286-6342",
"fax_number": "727-286-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 IMPERIAL PALM CT",
"city": "LARGO",
"state": "FL",
"postal_code": "337711616",
"telephone_number": "727-286-6342",
"fax_number": "727-286-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "KENDALL",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DR, ND, RCR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "RCR0000000082",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "TN",
"license": "ND",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.