Individual provider Active NPI

Bruce Lamar Kent, M.D.

  • Family Medicine Physician
  • Wetumpka, AL
National Provider Identifier
1336229608
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14163 Issued in AL
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000081972MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001340 AL Practitioner - Family Practice 6103896220 Reassigns benefits to 6 organizations

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
Chilton Family Care, LLCGroup PAC ID 7517189855, 14 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14163ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express Family Medicine CurrentSince Oct 8, 2018 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Jul 1, 2012 Accepting new patients
Enterprise Urgent Care CurrentSince Aug 1, 2016 Accepting new patients
Chilton Family Care, LLC Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 30, 2018 Accepting new patients
Ivy Creek Medical Associates CurrentSince Dec 21, 2025 Accepting new patients
Ivycreek of Elmore LLC PastSince Jan 19, 2021 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

  • Direct secure messaging: bruce.kent@icw.direct.medconnecthealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.