Bronwyn M. Kenny, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Burlington, VT
NPI 1447559174 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1447559174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 042.0013185 (VT)
- Practice address
- 111 Colchester Ave.
Uvm Medical Center - Women'S/OB-Generalists
Burlington, VT 05401-1473 - Phone
- (802) 847-1400
- Fax
- (802) 847-8433
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Saint Louis University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150923001562 | VT | Practitioner - Obstetrics/Gynecology | 7517274541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0013185 | VT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Locations
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- bkenny71752@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042.0013185 | VT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
111 Colchester Ave.
Uvm Medical Center - Women'S/OB-Generalists
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave.
Uvm Medical Center - Women'S/OB-Generalists
Burlington, VT 05401-1473
Phone (802) 847-1400
Other providers in Burlington, VT
- Kathleen Brunvand Kennedy
- Margaret Kennedy
- Mary Catherine Kennedy
- Suzanne Kennedy
- Sarah Kennelly
- Aisha Rose Kent
- Eric L. Kent
- Martina Kerkering
- Bret Kernoff
- Jennifer L Kerns
All providers in Burlington, VT · Obstetrics & Gynecology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.