DR. BRETT JEREMY KINDLE (NPI# 1639468028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639468028 |
| Entity Type | Individual |
| Full Name | DR. BRETT JEREMY KINDLE |
| Credential | M.D. |
| Practice Address |
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809 |
| Practice Telephone | 8509163700 |
| Practice Fax Number | 8509163710 |
| Mailing Telephone | 8509163700 |
| Mailing Fax Number | 8509163710 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 55682 | MN | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 106239 | MN | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
ME124333 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | PFXAR | 01 |
| Street Address |
1040 GULF BREEZE PKWY SUITE 200 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
| 1184232696 | Mary Catherine Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-07-21 |
| 1740805902 | Ginger Christina Bogan | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-06-13 |
| 1528682119 | Charles Alan Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-05-30 |
| 1730666850 | Amanda Nystrom | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 | 2018-07-21 |
| 1043735285 | Matt Creamer | Physical Medicine & Rehabilitation | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2017-08-09 |
| 1700323367 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 209, Gulf Breeze, FL 32561-7809 | 2017-01-20 |
| 1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
| 1386095404 | Matthew Mcgraw | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Suite 101, Gulf Breeze, FL 32561-7809 | 2016-06-30 |
| 1760845911 | Angela Marie Pectol | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372027 | Wholehealth Physical Therapy, LLC | Physical Medicine & Rehabilitation | 21123 Via Ventura, Boca Raton, FL 33433-2230 | 2019-11-27 |
| 1306404843 | Gregory Carvajal | Physical Medicine & Rehabilitation | 3425 Nw 180th St, Miami Gardens, FL 33056-3429 | 2019-05-30 |
| 1871059196 | Michaela Moran | Physical Medicine & Rehabilitation | 2750 John Prom Blvd, Jacksonville, FL 32246-3921 | 2019-02-11 |
| 1194298216 | Courtney Quinn | Physical Medicine & Rehabilitation | 6233 Royal Tern St, Orlando, FL 32810-6085 | 2019-01-11 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1003266537 | Christiana Marron | Physical Medicine & Rehabilitation | 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301-2020 | 2016-06-15 |
| 1780046177 | Shawn Darmond Homans | Physical Medicine & Rehabilitation | 13539 N Florida Ave, Tampa, FL 33613-3203 | 2016-03-24 |
| 1376933507 | Jessica Benshoshan | Physical Medicine & Rehabilitation | 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314-1841 | 2015-01-26 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.