Kevin D. Breniman, M.D.

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

E4508 Issued in AR

Practice address

1 Lile CT
Suite 200
Little Rock, AR 72205-6242

Phone

(501) 224-5500

Fax

(501) 224-1166

NPI assigned

Mar 1, 2006

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Medical College of Georgia School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians

Cornerstone Clinic for WomenGroup PAC ID 5092629352, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIEJBD
• Direct secure messaging: kevin.breniman.1@32099.direct.athenahealth.com

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.

• Womens Healthcare of Arkansas PLLC

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1700609450
  Medicare reassignment Care Compare group NPD Authorized official
• Cornerstone Clinic for Women

  • Medical Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1700853553
  Medicare reassignment Care Compare group NPD
• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Conway Women's Health Center, PA

  • Obstetrics & Gynecology Physician
  • Conway, AR
  • NPI 1841182466
  NPD (past) Authorized official
• Cornerstone Clinic for Women, PA

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1134011752
  NPD (past) Authorized official
• The Woman's Clinic, P.a.

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1255295945
  NPD (past) Authorized official
• Women's Health Associates of Nwa, PLLC

  • Obstetrics & Gynecology Physician
  • Bentonville, AR
  • NPI 1609768415
  NPD (past) Authorized official

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

• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1659348498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LILE CT",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056242",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056242",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENIMAN",
        "first_name": "KEVIN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "AR",
            "license": "E4508",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AR",
            "license": "E4508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164159001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "0508812700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "734687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "710491322",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7136217",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea S Breedlove, FNP
• Eric Breedlove
• Janet M Breen, LPC
• Frank H Bregy III, OTR/L
• Emily Michelle Breland Edwards, MD
• Brent Sprinkle DO PLLC
• Debra G. Brent, APN
• Renie E Bressinck, MD
• Tiffany Nicole Brevard, MHPP
• Elizabeth Ann Brew, MD

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.