Brad Kaemmerling, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-3006 Issued in AR

Practice address

10301 Kanis Rd Ste 1
Little Rock, AR 72205-6205

Phone

(501) 562-4838

Fax

(501) 562-1958

NPI assigned

Nov 16, 2005

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkaemmerling457174@direct.stlukeshealth.org
• Direct secure messaging: brad.kaemmerling@svmgs.eclinicaldirectplus.com

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.

• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480

  Pediatrics

  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1427030444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-562-4838",
            "fax_number": "501-562-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEMMERLING",
        "first_name": "BRAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-3006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1220314",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143537001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHIELD",
            "identifier": "5L914",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "19661000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Scott Kaczenski, M.D.
• Gregory Stephen Kaczenski, M.D.
• Michael Kaczkowski
• Bhadresh Kadakia, MD
• Mustafa Kadhim
• Rebecca Kaeppel-Dieckmann, RN
• Jennifer Kagebein
• Lori M Kagy, M.D.
• Matthew Kemp Kagy, MD
• Samantha Kagy

• Pediatrics Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.