Individual provider Active NPI

Gene Bradley Kimel, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1902848641
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4269 Issued in AZ
Practice address
13615 N 35TH Ave
1
Phoenix, AZ 85029
Phone
(602) 993-1722
Fax
(602) 866-0219
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4269 AZ Primary

Addresses

Primary practice location

13615 N 35TH Ave
1
Phoenix, AZ 85029

Mailing address

17250 N 43Rd Ave
Ste 3
Glendale, AZ 85308-4024
Phone (602) 993-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000802 AZ Practitioner - Chiropractic 9931261872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Kimel Chiropractic Center PCGroup PAC ID 7416933130, 4 clinicians

Practice addresses (Care Compare)

17250 N 43Rd Ave
Suite 3
Glendale, AZ 85308-4024
Phone (602) 993-1722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kimel Chiropractic Center PC Chiropractor CurrentSince Jan 1, 1986 Accepting new patients

Locations

17250 N 43rd Ave
Ste 3
Glendale, AZ 85308
Phone (602) 993-1722

13615 N 35th Ave
Ste 1
Phoenix, AZ 85029
Phone (602) 993-1722

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1902848641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE",
            "address_2": "STE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084024",
            "telephone_number": "602-993-1722",
            "fax_number": "602-866-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 N 35TH AVE",
            "address_2": "1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-993-1722",
            "fax_number": "602-866-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMEL",
        "first_name": "GENE",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.