Organization Active NPI

W Kevin Britt M.D. LLC

Doing business as Britt Family Medicine

  • Primary Care Clinic/Center
  • Madison, IN
National Provider Identifier
1104071836
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01050103A Issued in IN
Legal business name
W KEVIN BRITT M.D. LLC
Doing business as
Britt Family Medicine
Practice address
1801 Clifty Drive
Madison, IN 47250-1627
Phone
(812) 265-6800
Fax
(812) 265-1470
NPI assigned
Nov 21, 2008
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Walter Kevin Britt, M.D.NPI 1326078841
Title
Owner
Phone
(812) 701-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01050103A IN Primary

Addresses

Primary practice location

1801 Clifty Drive
Madison, IN 47250-1627

Mailing address

1801 Clifty Drive
Madison, IN 47250-1627
Phone (812) 265-6800

Other names 1

  • Britt Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000549 IN Part B Supplier - Clinic/Group Practice 9638233851 Receives reassigned benefits from 6 practitioners
Practice locations: Madison, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1094500Britt Family Medicine1801 Clifty Dr, Madison, IN 47250Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

Locations

1801 Clifty Dr
Madison, IN 47250
Phone (812) 265-6800

2920 Clifty Dr
#2
Madison, IN 47250
Phone (812) 265-6800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1104071836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CLIFTY DRIVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501627",
            "telephone_number": "812-265-6800",
            "fax_number": "812-265-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CLIFTY DRIVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501627",
            "telephone_number": "812-265-6800",
            "fax_number": "812-265-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W KEVIN BRITT M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-701-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01050103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Britt Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.