NPIMap

Individual provider Active NPI

Brian B Kimmel, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1528007176
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005625L Issued in PA
Practice address
4517 E Thompson St
Philadelphia, PA 19137-2003
Phone
(215) 535-1275
Fax
(215) 535-8690
NPI assigned
Jun 6, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X OS-005625L PA
Family Medicine Physician 207Q00000X OS005625L PA Primary

Addresses

Primary practice location

4517 E Thompson St
Philadelphia, PA 19137-2003

Mailing address

4517 E Thompson St
Philadelphia, PA 19137-2003
Phone (215) 535-1275

Other identifiers 1

IdentifierTypeStateIssuer
0011449090003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000216 PA Practitioner - Family Practice 2860433968 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

1104 Welsh Rd
Philadelphia, PA 19115-3730
Phone (215) 676-9191

3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (215) 830-0400

4517 E Thompson St
Philadelphia, PA 19137-2003
Phone (215) 535-1275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005625LPAMDFamily Medicine Physician
OS-005625LPAMDCustodial Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Oct 19, 2024 Accepting new patients
Geps Physician Group of Pennsylvania PC CurrentSince Jun 15, 2006 Accepting new patients
Medical Associates of Bridesburg Family Medicine CurrentSince Oct 24, 1985 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Jun 15, 2006 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
2990 Holme Operating, LLC PastSince Sep 1, 2023 Accepting new patients
Mayfair Operator LLC Past Accepting new patients
8100 Washington Lane Operations LLC Past Accepting new patients
262 Toll Gate Road Operations LLC Past Accepting new patients
1104 Welsh Road Operations LLC Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients
Somerton Acquisition LLC Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients
10400 Roosevelt Operating, LLC Past Accepting new patients
Oakwood Healthcare LLC Past Accepting new patients

Locations

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

262 Tollgate Rd
Langhorne, PA 19047
Phone (215) 968-4650

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

4517 E Thompson St
Philadelphia, PA 19137
Phone (215) 535-1275

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

8100 Washington Ln
Wyncote, PA 19095
Phone (215) 576-8000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chapel ManorPhiladelphia, PA, CCN 395449B Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2009
Feb 9, 2025
Hopkins CenterWyncote, PA, CCN 395342 Skilled nursing facility Adp of the SNF May 1, 2024
Immaculate Mary Center for Rehabilitation & HealthcarePhiladelphia, PA, CCN 395338 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2023
Sep 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1528007176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 E THOMPSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191372003",
            "telephone_number": "215-535-1275",
            "fax_number": "215-535-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 E THOMPSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191372003",
            "telephone_number": "215-535-1275",
            "fax_number": "215-535-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "BRIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "PA",
            "license": "OS-005625L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005625L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011449090003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.