Kids First Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME-91688 Issued in FL

Legal business name

KIDS FIRST PEDIATRIC CENTER

Practice address

3447 Pine Ridge Rd Ste 101
Naples, FL 34109-3927

Phone

(239) 431-6413

Fax

(239) 431-6417

NPI assigned

Dec 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mariliz Borbon Bumgarner, M.D.

Title

Owner

Phone

(239) 431-6413

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1972806610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093927",
            "telephone_number": "239-431-6413",
            "fax_number": "239-431-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093927",
            "telephone_number": "239-431-6413",
            "fax_number": "239-431-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "MARILIZ",
        "authorized_official_middle_name": "BORBON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-431-6413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-91688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271218100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean M. Kibria, DPM
• Brandy Michelle Kidd, M.S.W., L.C.S.W.
• Kidmotion Brenda Chilstrom Pediatric Occupational Therapist LLC
• Kidmotion: Brenda Chilstrom, Pediatric Occupational Therapy, LLC
• Kidney Institute of Naples, LLC
• Kids R Kids Therapy, LLC
• Kids Solutions Inc
• Kidz Medical Services
• Kiefer Professional Services Inc.
• Jules A. Kiefer Jr., M.S.,CCC-A

• Pediatrics Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.