Individual provider Active NPI

Brian Kimbrell, MD

  • Trauma Surgery Physician
  • Bradenton, FL
National Provider Identifier
1689738072
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME108032 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110722000613 FL Practitioner - General Surgery 4385610369 Reassigns benefits to 2 organizations
I20240910004764 SC Practitioner - General Surgery 4385610369 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67135CAMDSurgery Physician
ME108032FLMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc CurrentSince Jul 8, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 5, 2024 Accepting new patients
McLeod Physician Associates II Surgery Current Accepting new patients
West Florida Trauma Network, LLC Trauma Surgery CurrentSince Jun 11, 2011 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 5, 2024 Accepting new patients
Ventura Trauma/Surgical Critical Care Medical Corporation Trauma Surgery PastSince Jul 21, 2010 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.

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

Verify at the official NPI Registry.