Kevin Kearney, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA05501900 Issued in NJ

Practice address

1051 Ribaut Rd
Beaufort, SC 29902-5436

Phone

(843) 522-7890

Fax

(843) 522-7889

NPI assigned

Oct 23, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Beaufort County Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Beaufort, SC
  • NPI 1235552746
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1497838742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025436",
            "telephone_number": "843-522-7890",
            "fax_number": "843-522-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025436",
            "telephone_number": "843-522-7890",
            "fax_number": "843-522-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA05501900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5164800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Kaponer
• Christopher Jon Kardohely, DPM
• Karen L Keane, D.O.
• Timothy E Keane, D.O.
• Christina Kearney
• Karen Wister Kearns, LPC
• Ralph Ray Kearns Jr., D.C.
• Briana Renee Keaveny
• Jonathan Leigh Kee
• Weslie Keeler, M.ED, BCBA

• Gastroenterology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.