KEVIN D. BRENIMAN (NPI# 1659348498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659348498 |
| Entity Type | Individual |
| Full Name | KEVIN D. BRENIMAN |
| Credential | M.D. |
| Practice Address |
1 Lile Ct Suite 200 Little Rock AR 72205-6242 |
| Practice Telephone | 5012245500 |
| Practice Fax Number | 5012241166 |
| Mailing Telephone | 5012245500 |
| Mailing Fax Number | 5012241166 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
E4508 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 164159001 | 05 | |
| AR | AETNA | 7136217 | 01 |
| AR | UNITED HEALTHCARE | 710491322 | 01 |
| AR | HEALTHLINK | 734687 | 01 |
| CA | QUALCHOICE | 0508812700 | 01 |
| Street Address |
1 LILE CT SUITE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239116 | John Wilder Baker | Specialist | 1 Lile Ct, Little Rock, AR 72205-6242 | 2006-01-11 |
| 1396215471 | Antigria N Robinson | Case Manager/Care Coordinator | 1 Lile Ct, Little Rock, AR 72205-6242 | 2018-11-30 |
| 1275778219 | Pathology Labs of Ar | Clinical Medical Laboratory | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2008-12-04 |
| 1154489524 | Elizabeth Ann Seng | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-12-05 |
| 1164508883 | Brent Christopher Staggs | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-10-27 |
| 1407813132 | Pathology Laboratories of Arkansas, Pa | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-04-27 |
| 1801857693 | Charles David Sullivan | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| 1245291038 | Robert O'neal Shaver | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| 1346201118 | Rex Harrison Bell | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| 1952362725 | Amy Rapp Hudson | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207VC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Critical Care Medicine |
| An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.