Terry V Kinnebrew, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12977 Issued in AL

Practice address

758 Main St
Gardendale, AL 35071-2696

Phone

(205) 631-5521

Fax

(205) 631-5540

NPI assigned

Aug 16, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment NPD
• Baptist Health Centers LLC

  • Family Medicine Physician
  • Munford, AL
  • NPI 1427012566
  NPD
• Baptist Health Centers LLC

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Eastside Ventures, Inc.

  • Family Medicine Physician
  • Cleveland, AL
  • NPI 1609900406
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1487767216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 MAIN ST",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712696",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 MAIN ST",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712696",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEBREW",
        "first_name": "TERRY",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942565",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Keenum, OTD
• Danielle Leigh Kelley
• Cherry Kelly, PHARM.D.
• Julie Lawson King, PHARM.D.
• Steven J King, MD
• Pamela Nichole Kirby, PT, DPT
• Jenna Michelle Kirk
• Shamichael Malakeia Shanelle Kittler, LPC
• Laboratory Corporation of America Holdings
• Laura Lee Laborde

• Family Medicine Physician in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.