Active NPI
Kellen H Gower, M.D.
- Family Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME133818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD.38125 | AL | |
| Family Medicine Physician | 207Q00000X | MD.38125 | AL | |
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMX5R | Other | FL | BCBS |
| MR083 | Other | FL | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Enhabit Home Health
- Visiting Nurse Association of Florida Inc
- Adventhealth Dade City
- HCA Florida Oak Hill Hospital
- Tampa General Hospital Brooksville
- Adventhealth Zephyrhills
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Removal or shaving of skin growth | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Multi-Specialty | Current | Accepting new patients |
| STV Sports Medicine & Orthopedics LLC | Current | Accepting new patients | |
| Orthosports1St PC | Multi-Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Multi-Specialty | Current | Accepting new patients |
| American Family Care, LLC | Multi-Specialty | Current | Accepting new patients |
| American Family Care, LLC | Multi-Specialty | Current | Accepting new patients |
| Orthosports1St PC | Multi-Specialty | Current | Accepting new patients |
| STV Sports Medicine & Orthopedics LLC | Multi-Specialty | Current | 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
- 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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Multi-Specialty
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Hoover, AL
- NPI 1730701673
Multi-Specialty
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1467818575
Multi-Specialty
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Multi-Specialty
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
Multi-Specialty
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Madison, AL
- NPI 1184438855
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Pelham, AL
- NPI 1770365504
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1750775003
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.