Percy D. Kepfer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0022120 Issued in FL

Practice address

4018 Greenwood Dr
Fort Pierce, FL 34982-6151

Phone

(772) 464-2607

Fax

(772) 464-4525

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1053533760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 GREENWOOD DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826151",
            "telephone_number": "772-464-2607",
            "fax_number": "772-464-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 GREENWOOD DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826151",
            "telephone_number": "772-464-2607",
            "fax_number": "772-464-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPFER",
        "first_name": "PERCY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0022120",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0022120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mackenzie Paige Kenney, FNP-C
• Jessica Kerr
• Amanda Joyce Kerwin, LCSW
• Keyes Surgical Assist Inc
• Khodadad Khairandish
• Maliha W Khan, M.D.

• Pediatrics Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.