Individual provider Active NPI

Kevin W Brinker, D.O.

  • Emergency Medicine Physician
  • Wichita, KS
National Provider Identifier
1417018201
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-34269 Issued in KS
Practice address
111 S Ridgecrest St
Wichita, KS 67218
Phone
(316) 932-2358
NPI assigned
Dec 13, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03082 KY
Emergency Medicine Physician 207P00000X 05-34269 KS Primary
Family Medicine Physician 207Q00000X R1266 KY

Addresses

Primary practice location

111 S Ridgecrest St
Wichita, KS 67218

Mailing address

111 S Ridgecrest St
Wichita, KS 67218-1825
Phone (316) 932-2358

Other practice location 1

1201 W 12th Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Other practice location 2

911 Bypass Rd
Pikeville, KY 41501-1689
Phone (606) 218-3519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, KS2 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
I20070724000513 KY Practitioner - Family PracticePractitioner - Emergency Medicine 1153422985 Reassigns benefits to 3 organizations
I20100818000133 KS Practitioner - Emergency MedicinePractitioner - Family Practice 1153422985 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-34269KSMDEmergency Medicine Physician
03082KYMDEmergency Medicine Physician
R1266KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Dec 4, 2018 Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Oct 14, 2018 Accepting new patients
Newton Healthcare Corporation Family Medicine Current Accepting new patients
Newman Memorial County Hospital Emergency Medicine Past Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1417018201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S RIDGECREST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181825",
            "telephone_number": "316-932-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S RIDGECREST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-932-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-218-3519",
            "fax_number": "606-218-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKER",
        "first_name": "KEVIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03082",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-34269",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R1266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.