Brent Young Kimball, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

52364 Issued in CO

Practice address

10535 Park Meadows Blvd Ste 150
Lone Tree, CO 80124-8401

Phone

(720) 441-4021

Fax

(710) 360-1195

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Merit-based Incentive Payment System (MIPS)

Final score

40.82 of 100Reported as group

Quality

9.1

Promoting interoperability

100

Improvement activities

0

Cost

43.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDEEDD/Endpoint/FDEEDD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1083804694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "720-441-4021",
            "fax_number": "877-569-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "720-441-4021",
            "fax_number": "710-360-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "BRENT",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "52364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Killam, LCSW
• Robert A Kilpatrick
• David Hakbum Kim, MD
• Lawrence Kim, M.D
• Rachel Kim
• Cassidy Lee Kindelspire, DO
• Mackenzie R King
• Melissa King
• Lauren Marie Kinney
• Karen Dale Kinsel, RN

• Neurological Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.