Brent Thomas Kempf, D.P.M.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N005677 Issued in NY

Legal business name

BRENT THOMAS KEMPF, D.P.M.

Practice address

110 Lakeland Ave
Sayville, NY 11782-1912

Phone

(631) 567-2888

Fax

(631) 567-2369

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brent Thomas Kempf, D.P.M.NPI 1659483246

Title

Owner

Phone

(631) 567-2888

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Sayville Foot Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Brent Thomas Kempf, DPM

  • Podiatrist
  • Sayville, NY
  • NPI 1659483246
  NPD Authorized official

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1619203924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821912",
            "telephone_number": "631-567-2888",
            "fax_number": "631-567-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821912",
            "telephone_number": "631-567-2888",
            "fax_number": "631-567-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT THOMAS KEMPF, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "KEMPF",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-567-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "137686",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093709",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3265675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/EMBLEM HEALTH",
            "identifier": "1499422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PJ8822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7232934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sayville Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daria Bossert, RN
• Sophia Boulukos, M.D
• Ellen Brady, LMHC
• Mary Lou Brennan, MS
• Olivia Ann Brennan, AU.D.
• Kelly Ann Britt, MS, CCC-SLP
• Michael Brody, DDS
• Eileen Mary Brophy, SLP/CCC
• Michael Bryan
• Cathy Ann Burtless, M.S., CCC/SLP

• Durable Medical Equipment & Medical Supplies in Sayville, NY
• Providers in Sayville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.