KDB Enterprises, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R8E38 Issued in MO

Legal business name

KDB ENTERPRISES, INC

Practice address

11630 Studt Ave
Creve Coeur, MO 63141-7016

Phone

(314) 991-2229

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Kent D Branson, M.D.NPI 1427149038

Title

Owner/President

Phone

(314) 991-2229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kent D Branson, M.D.

  • Obstetrics & Gynecology Physician
  • Creve Coeur, MO
  • NPI 1427149038
  Medicare reassignment NPD Authorized official
• Erica Lynn Rudloff, WHNP

  • Women's Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1194280388
  Medicare reassignment NPD

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1992955926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "314-991-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "314-991-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDB ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "314-991-2229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R8E38",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Juang
• Julie Lafferty MD, LLC
• Tricia Ann Kaelin, SLP
• Jennifer M Kane, MD
• Elizabeth Kauffman
• Karla Keaney, M.D.
• Abbe Michelle Keen, D.C.
• Dennis J Keithly, MD
• Breanna Lynn Keller, MSCCC-SLP
• Allison Kelley, OTR/L

• Obstetrics & Gynecology Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.