Active NPI
Bradly Alexander Kimbrough, MD
- Rheumatology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- U9570
- Practice address
- 611 W Hwy 6 Ste 101
Waco, TX 76710-7545 - Phone
- (254) 755-4582
- Fax
- (254) 755-4585
- NPI assigned
- Apr 5, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29168 | MN | |
| Rheumatology Physician | 207RR0500X | 65873 | MN | |
| Internal Medicine Physician | 207R00000X | 65873 | MN | |
| Rheumatology Physician | 207RR0500X | U9570 | TX | Primary |
Addresses
Primary practice location
611 W Hwy 6 Ste 101
Waco, TX 76710-7545
Mailing address
611 W Hwy 6 Ste 101
Waco, TX 76710-7545
Phone (254) 755-4582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Baylor College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
611 W Hwy 6
Suite 101
Waco, TX 76710-7545
Phone (254) 755-4582
Hospital & facility affiliations
- Ascension Providence
- Parkview Regional Hospital
- Coryell Memorial Hospital
- Goodall Witcher Hospital
- Limestone Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U9570 | TX | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waco Rheumatology PLLC | Rheumatology | Current | Accepting new patients |
| Hing-Sheung Eugene Fung MD PA | Rheumatology | Current | Accepting new patients |
| American Arthritis & Rheumatology Associates-TX PLLC | Rheumatology | Current | Accepting new patients |
Locations
2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101
215 E Quincy St
Ste 417
San Antonio, TX 78215
Phone (210) 223-5585
611 W State Highway 6
Ste 101
Waco, TX 76710
Phone (254) 755-4582
Interoperability endpoints
- bradly.kimbrough.p36@direct.aara1.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Colleyville, TX
- NPI 1639521859
-
- Rheumatology Physician
- Waco, TX
- NPI 1316762818
-
- Rheumatology Physician
- Waco, TX
- NPI 1669654497
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- Critical Access Hospital
- Clifton, TX
- NPI 1104383371
-
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
-
- General Acute Care Hospital
- Mexia, TX
- NPI 1497708929
-
- Critical Access Hospital
- Groesbeck, TX
- NPI 1861487779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1861998007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W HWY 6 STE 101",
"city": "WACO",
"state": "TX",
"postal_code": "767107545",
"telephone_number": "254-755-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W HWY 6 STE 101",
"city": "WACO",
"state": "TX",
"postal_code": "767107545",
"telephone_number": "254-755-4582",
"fax_number": "254-755-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "BRADLY",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "29168",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "65873",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "65873",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "U9570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.