Active NPI
Brian Kimbrell, MD
- Trauma Surgery Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- ME108032
- Practice address
- 2020 59TH St W
Trauma Service
Bradenton, FL 34209-4604 - Phone
- (941) 792-6611
- NPI assigned
- Dec 20, 2006
- Last updated
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A67135 | CA | |
| Trauma Surgery Physician | 2086S0127X | ME108032 | FL | Primary |
Addresses
Primary practice location
2020 59TH St W
Trauma Service
Bradenton, FL 34209-4604
Mailing address
2020 59TH St W
Trauma Service
Bradenton, FL 34209-4604
Phone (941) 792-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67135 | CA | MD | Surgery Physician |
| ME108032 | FL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Surgery | Current | Accepting new patients |
| West Florida Trauma Network, LLC | Trauma Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Ventura Trauma/Surgical Critical Care Medical Corporation | Trauma Surgery | Past | Accepting new patients |
| Usc Surgeons, Inc. | Surgery | Past | Accepting new patients |
| West Florida Anesthesia Consultants, PA | Past | Accepting new patients |
Locations
2010 59th St W
Bradenton, FL 34209
Phone (813) 453-0590
2010 59th St W
Ste 2200
Bradenton, FL 34209
Phone (941) 677-7220
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 260
Florence, SC 29506
Phone (803) 665-7941
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
Organizations & group practices 8
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Trauma Surgery Physician
- Bradenton, FL
- NPI 1902198948
-
- Trauma Surgery Physician
- Oxnard, CA
- NPI 1376779249
-
dba McLeod Psychiatric Associates
- Psychiatry Physician
- Darlington, SC
- NPI 1629189766
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1992753941
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1689738072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"address_2": "TRAUMA SERVICE",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-792-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"address_2": "TRAUMA SERVICE",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-792-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A67135",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME108032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.