Kephartsportsmedicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

KEPHARTSPORTSMEDICINE LLC

Doing business as

Buckingham Sports Medicine and Wellness

Practice address

403 Hyde Park
Doylestown, PA 18902-6619

Phone

(267) 406-4083

Fax

(267) 406-4659

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric M Kephart, DONPI 1104913680

Title

Owner

Phone

(267) 980-1864

Specialties & licenses 1

Addresses

Other names 1

• Buckingham Sports Medicine and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric M Kephart, D.O.

  • Family Medicine Physician
  • Fairless Hills, PA
  • NPI 1104913680

  Sports Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1598400392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HYDE PARK",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026619",
            "telephone_number": "267-406-4083",
            "fax_number": "267-406-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HYDE PARK",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026619",
            "telephone_number": "267-406-4083",
            "fax_number": "267-406-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPHARTSPORTSMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-980-1864",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckingham Sports Medicine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Renee Kennedy, OTR/L, CHT, CFNC
• Kenneth Lefkowitz
• Kenneth R Lefkowitz DPM
• Rose M Kenny, MD
• James M Kensicki Jr., MSPT
• Christine Kerrigan, PA-C
• Erin Kershaw, BS, RN, DEM
• Craig D Kesack, M.D.
• Mayurathan Kesavan, M.D
• Kessler and Clark

• Sports Medicine (Family Medicine) Physician in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.