Individual provider Active NPI

Bret D Kueber, M.D.

  • Family Medicine Physician
  • Boca Grande, FL
National Provider Identifier
1922078062
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01061176A Issued in IN
Practice address
280 Park Ave
Boca Grande, FL 33921-0517
Phone
(941) 964-2276
Fax
(941) 964-2983
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01061176A IN Primary

Addresses

Primary practice location

280 Park Ave
Boca Grande, FL 33921-0517

Mailing address

PO Box 517
Boca Grande, FL 33921-0517
Phone (941) 964-2276

Other practice location 1

128 N. Randolph Street
Garrett, IN 46738-1138
Phone (260) 357-6557

Other identifiers 2

IdentifierTypeStateIssuer
200526290MedicaidIN
P00244632OtherINRAILROAD MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address bkueber5199@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050831000941 IN Practitioner - Family Practice 6901792175 Reassigns benefits to 1 organization
I20220319000060 FL Practitioner - Internal Medicine 6901792175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Boca Grande Health ClinicGroup PAC ID 7810069879, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

280 Park Ave
PO Box 517
Boca Grande, FL 33921-0517
Phone (941) 964-2276

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

PO Box
Suite 517
Boca Grande, FL 33921-0517

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Fort Myers, FL, CCN 107630
  • Amedisys Home Health Home health agency, Venice, FL, CCN 107522
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
73.12 of 100Reported as group
Quality
51.11
Improvement activities
40
Cost
75.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061176AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Grande Health Clinic Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
Parkview Health System Inc Family Medicine CurrentSince Feb 13, 2020 Accepting new patients
Emergency Physicians of Indiana PC Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1314 E 7th St
Ste 101
Auburn, IN 46706
Phone (260) 920-2794

1314 E 7th St
Ste 103
Auburn, IN 46706
Phone (260) 927-1982

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

3909 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-8000

128 N Randolph St
Garrett, IN 46738
Phone (219) 357-6557

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • Direct secure messaging: bkueber300719@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: bkueber5199@direct.parkviewexchange.com

Organizations & group practices 4

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 6

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1922078062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "BOCA GRANDE",
            "state": "FL",
            "postal_code": "339210517",
            "telephone_number": "941-964-2276",
            "fax_number": "941-964-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PARK AVE",
            "city": "BOCA GRANDE",
            "state": "FL",
            "postal_code": "339210517",
            "telephone_number": "941-964-2276",
            "fax_number": "941-964-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 N. Randolph Street",
            "address_purpose": "LOCATION",
            "city": "Garrett",
            "state": "IN",
            "postal_code": "467381138",
            "country_code": "US",
            "telephone_number": "260-357-6557",
            "fax_number": "260-357-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEBER",
        "first_name": "BRET",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061176A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200526290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244632",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkueber5199@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Grande, FL

Sources for this page

Verify at the official NPI Registry.