Individual provider Active NPI

Brenda Sue Kinard, M.D.

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1922073899
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050032 Issued in FL
Practice address
1955 1St Ave N
Suite 103
St Petersburg, FL 33713-8941
Phone
(727) 821-9997
Fax
(727) 821-9011
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0050032 FL Primary

Addresses

Primary practice location

1955 1St Ave N
Suite 103
St Petersburg, FL 33713-8941

Mailing address

1955 1St Ave N
Suite 103
St Petersburg, FL 33713-8941
Phone (727) 821-9997

Other names 1

  • Dr. Brenda Sue Kinard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda S Kinard MD PA Specialist CurrentSince Sep 2, 1998 Accepting new patients

Locations

1201 5th Ave N
Ste 402
St Petersburg, FL 33705
Phone (727) 298-6121

1955 1st Ave N
Ste 103
St Petersburg, FL 33713
Phone (727) 820-9542

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1922073899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N",
            "address_2": "SUITE 103",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138941",
            "telephone_number": "727-821-9997",
            "fax_number": "727-821-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N",
            "address_2": "SUITE 103",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138941",
            "telephone_number": "727-821-9997",
            "fax_number": "727-821-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "KINARD",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.