Kenneth J Prebil Surgery Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KENNETH J PREBIL SURGERY ASSOCIATES, P.C.

Practice address

14155 N. 83Rd Ave.,
Ste. a-105
Peoria, AZ 85381

Phone

(623) 486-7700

Fax

(623) 486-7703

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Prebil, M.D.

Title

President

Phone

(623) 486-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Edward Prebil, D.O.

  • Surgery Physician
  • Peoria, AZ
  • NPI 1639132087
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619199718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N. 83RD AVE., STE. A-105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-486-7700",
            "fax_number": "623-486-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N. 83RD AVE.,",
            "address_2": "STE. A-105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-486-7700",
            "fax_number": "623-486-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J PREBIL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PREBIL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-486-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Bangart DPM PC
• Adrijana Kekic, PHARMD
• Courtney Ann Keller, PMHNP
• Cory Kempton, DO
• Dawn M Kempton, SLPA
• Randall Kertz, D.C.
• Victoria Marie Kes, D.C.
• Jolene Claire Kesler
• Cherady Jane Ketha, D.O.
• Jamie Lauren Keune, MT

• Specialist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.