Robert Bruce Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-8273 Issued in AR

Practice address

11215 Hermitage Rd
Suite 103
Little Rock, AR 72211-3809

Phone

(501) 219-1929

Fax

(501) 219-0021

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longinotti Williams Aprn Services PLLC

  • Primary Care Clinic/Center
  • Little Rock, AR
  • NPI 1639765373
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780744870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALLARD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047101",
            "telephone_number": "501-219-1929",
            "fax_number": "501-219-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE RD",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113809",
            "telephone_number": "501-219-1929",
            "fax_number": "501-219-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-8273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kennedy, LPC
• Kira Rinehart Kennedy, LCSW
• Kristina Marie Kennedy, MD
• Leisa Kennedy, M.S. CCC-SLP
• Marcus Peter Kennedy, MD
• Kenneth E Pearson DDS PA
• Kenneth M Rosenzweig, MD, PA
• Philip Kenney, MD
• Kimberly Danielle Kenser, MSW
• Brittany Kent, PT, DPT

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.