Kingman Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4550 Issued in AZ

Legal business name

KINGMAN FAMILY PRACTICE, P.C.

Practice address

3131 Western Ave
Kingman, AZ 86401-0951

Phone

(928) 718-0718

NPI assigned

Jan 29, 2007

Last updated

May 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Frank Brown, DONPI 1245233980

Title

Physician

Phone

(928) 897-2199

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Kevin Frank Brown, D.O.

  • Family Medicine Physician
  • Bullhead City, AZ
  • NPI 1245233980
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1346386174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 N STOCKTON HILL RD STE 103135",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090595",
            "telephone_number": "928-897-2199",
            "fax_number": "928-692-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864010951",
            "telephone_number": "928-718-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2812 Silver Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428309",
            "country_code": "US",
            "telephone_number": "928-763-1404",
            "fax_number": "928-763-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGMAN FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-897-2199",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z116536",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185299",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingman Dental Group
• Kingman Dental Professionals, LLC
• Kingman Emergency Associates PLLC
• Kingman Family Dental Group LLC
• Kingman Family Dentistry
• Kingman General Surgery PC
• Kingman Healthcare, Inc (Kingman Regional Medical Center Home Health)
• Kingman Healthcare, Inc (Kingman Regional Medical Center - Hualapai Mountain Campus)
• Kingman Healthcare, Inc (Kingman Regional Medical Center)
• Kingman Healthcare, Inc (Kingman Regional Medical Center Hospice)

• Family Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.