Individual provider Active NPI

Kellen H Gower, M.D.

  • Family Medicine Physician
  • Brooksville, FL
National Provider Identifier
1356796601
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME133818 Issued in FL
Practice address
20205 Cortez Blvd Unit a
Brooksville, FL 34601-3847
Phone
(352) 796-5303
Fax
(352) 796-5304
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD.38125 AL
Family Medicine Physician 207Q00000X MD.38125 AL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME133818 FL Primary

Addresses

Primary practice location

20205 Cortez Blvd Unit a
Brooksville, FL 34601-3847

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 2

IdentifierTypeStateIssuer
MMX5ROtherFLBCBS
MR083OtherFLMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180524001766 FL Practitioner - Family Practice 6406149871 Reassigns benefits to 1 organization
I20190917001430 AL Practitioner - Family PracticePractitioner - Sports Medicine 6406149871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

31075 Cortez Blvd
Brooksville, FL 34602-7542
Phone (352) 796-5303

Hospital & facility affiliations

  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Enhabit Home Health Home health agency, Brooksville, FL, CCN 108449
  • Visiting Nurse Association of Florida Inc Home health agency, Weeki Wachee, FL, CCN 107609
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Removal or shaving of skin growth15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Multi-Specialty CurrentSince Apr 9, 2021 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Aug 1, 2019 Accepting new patients
Orthosports1St PC Multi-Specialty CurrentSince Jun 15, 2020 Accepting new patients
Millennium Physician Group LLC Multi-Specialty CurrentSince Apr 9, 2021 Accepting new patients
American Family Care, LLC Multi-Specialty CurrentSince Jan 11, 2020 Accepting new patients
American Family Care, LLC Multi-Specialty CurrentSince Jan 11, 2020 Accepting new patients
Orthosports1St PC Multi-Specialty CurrentSince Jun 15, 2020 Accepting new patients
STV Sports Medicine & Orthopedics LLC Multi-Specialty CurrentSince Aug 1, 2019 Accepting new patients

Locations

120 Colonial Promenade Pkwy
Alabaster, AL 35007
Phone (205) 605-0495

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

1031 Brocks Gap Pkwy
Ste 185
Hoover, AL 35244
Phone (205) 352-2911

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1652 Montclair Rd
Irondale, AL 35210
Phone (205) 263-8623

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

31075 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303

20205 Cortez Blvd
Unit A
Brooksville, FL 34601
Phone (352) 796-5303

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

Interoperability endpoints

  • Direct secure messaging: kellen.gower.1@4290.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1356796601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20205 CORTEZ BLVD UNIT A",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013847",
            "telephone_number": "352-796-5303",
            "fax_number": "352-796-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWER",
        "first_name": "KELLEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "MD.38125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.38125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME133818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MMX5R",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "MR083",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.