Individual provider Active NPI

Bradly Alexander Kimbrough, MD

  • Rheumatology Physician
  • Waco, TX
National Provider Identifier
1861998007
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
U9570 Issued in TX
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

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329001111 TX Practitioner - RheumatologyPractitioner - Internal Medicine 7810245537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Arthritis and Rheumatology Associates-TX PLLCGroup PAC ID 6002194388, 26 clinicians

Practice addresses (Care Compare)

611 W Hwy 6
Suite 101
Waco, TX 76710-7545
Phone (254) 755-4582

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Goodall Witcher Hospital Hospital, Clifton, TX, CCN 451385
  • Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U9570TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Rheumatology PLLC Rheumatology CurrentSince Jan 21, 2025 Accepting new patients
Hing-Sheung Eugene Fung MD PA Rheumatology CurrentSince Dec 1, 2024 Accepting new patients
American Arthritis & Rheumatology Associates-TX PLLC Rheumatology CurrentSince Apr 1, 2024 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

  • Direct secure messaging: bradly.kimbrough.p36@direct.aara1.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.