Active NPI
Bruce Lamar Kent, M.D.
- Family Medicine Physician
- Wetumpka, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14163
- Practice address
- 41 Cambridge CT
Wetumpka, AL 36093-1261 - Phone
- (334) 567-5626
- Fax
- (334) 567-0855
- NPI assigned
- Oct 17, 2006
- Last updated
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14163 | AL | Primary |
Addresses
Primary practice location
41 Cambridge CT
Wetumpka, AL 36093-1261
Mailing address
41 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-5626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000081972 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 7TH St S
Clanton, AL 35045-3724
Phone (334) 514-3820
500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- Ivy Creek Home Health of Elmore
- Ivy Creek Hospice
- Elmore Community Hospital
- Baptist Medical Center South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14163 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Express | Family Medicine | Current | Accepting new patients |
| Wetumpka Urgent Care LLC | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| Chilton Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek Medical Associates | Current | Accepting new patients | |
| Ivycreek of Elmore LLC | Past | Accepting new patients |
Locations
1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620
4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222
2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542
41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311
525 Hospital Dr
Wetumpka, AL 36092
Phone (334) 567-5626
73996 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 567-4116
Interoperability endpoints
- bruce.kent@icw.direct.medconnecthealth.com
- bruce.kent@riverfam.direct.medconnect-inc.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Clanton, AL
- NPI 1366857674
-
dba Ivy Creek Family Care of Tallassee
- Rural Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
dba Ivy Creek Family Care of Enterprise
- Urgent Care Clinic/Center
- Enterprise, AL
- NPI 1285180729
-
- Primary Care Clinic/Center
- Wetumpka, AL
- NPI 1659055184
-
- Family Medicine Physician
- Millbrook, AL
- NPI 1043362734
-
- Urgent Care Clinic/Center
- Wetumpka, AL
- NPI 1194057554
-
dba Ivy Creek Family Care of Holtville
- Rural Health Clinic/Center
- Deatsville, AL
- NPI 1578060349
-
dba River Region Family Medicine
- Rural Health Clinic/Center
- Wetumpka, AL
- NPI 1396066650
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Prattville, AL
- NPI 1134158843
-
dba Enhabit Home Health
- Home Health Agency
- Troy, AL
- NPI 1366904161
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
dba Ivy Creek Home Health of Elmore
- Home Health Agency
- Wetumpka, AL
- NPI 1255533642
-
dba Elmore Community Hospital
- General Acute Care Hospital
- Wetumpka, AL
- NPI 1588795942
-
dba Ivy Creek Hospice
- Community Based Hospice Care Agency
- Dadeville, AL
- NPI 1346305216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1336229608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CAMBRIDGE CT",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931261",
"telephone_number": "334-567-5626",
"fax_number": "334-567-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 CAMBRIDGE CT",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931261",
"telephone_number": "334-567-5626",
"fax_number": "334-567-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "BRUCE",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "14163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000081972",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.
- 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.