BRAD KAEMMERLING


Address: 4202 S University Ave, Little Rock, AR 72204-7841
Phone: 5015624838

BRAD KAEMMERLING (NPI# 1427030444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427030444
Entity Type Individual
Full Name BRAD KAEMMERLING
Credential MD
Practice Address 4202 S University Ave
Little Rock
AR 72204-7841
Practice Telephone 5015624838
Practice Fax Number 5015621958
Mailing Telephone 5015624838
Mailing Fax Number 5015621958
Enumeration Date 2005-11-16
Last Update Date 2012-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics E-3006 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR UNITED HEALTHCARE 1220314 01
AR 143537001 05
AR QUALCHOICE 19661000000 01
AR AR BLUE CROSS BLUE SHIELD 5L914 01

Office Location

Street Address 4202 S UNIVERSITY AVE
City LITTLE ROCK
State AR
Zip Code 72204-7841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972508513 Vincent Calderon Pediatrics 4202 S University Ave, Little Rock, AR 72204-7841 2005-06-20
1518374610 Kristi Leigh Jones Nurse Practitioner 4202 S University Ave, Little Rock, AR 72204-7841 2014-07-21
1699118141 Eric Nathaniel Joseph Family Medicine 4202 S University Ave, Little Rock, AR 72204-7841 2013-04-15
1184985905 Irina V Esteva Family Medicine 4202 S University Ave, Little Rock, AR 72204-7841 2012-06-07
1366676678 Randy L Hogan Physical Therapist 4202 S University Ave, Little Rock, AR 72204-7841 2009-05-14
1902030208 Kara B Swayne Physical Therapist 4202 S University Ave, Little Rock, AR 72204-7841 2009-05-14
1013159698 Christine Lalande Nurse Practitioner 4202 S University Ave, Little Rock, AR 72204-7841 2009-03-30
1407026370 Julia Brooks Dietitian, Registered 4202 S University Ave, Little Rock, AR 72204-7841 2008-03-07
1093901506 Samuel Allen Physical Therapist 4202 S University Ave, Little Rock, AR 72204-7841 2007-09-18
1780706663 Shiva Nallur Family Medicine 4202 S University Ave, Little Rock, AR 72204-7841 2007-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669952966 Shane Wilson Non-emergency Medical Transport (VAN) 1522 S Tyler St, Little Rock, AR 72204 2018-08-16
1659858348 Poplar Grove Operations LLC Skilled Nursing Facility 7801 Kanis Road, Little Rock, AR 72204 2018-07-25
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1265954820 Marilyn Marie Lynch Registered Nurse 7723 Colonel Glenn Road, Little Rock, AR 72204 2017-07-14
1962852954 Arkansas Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1122 S. University Ave, Little Rock, AR 72204 2016-06-21
1841607751 Charity Gillespie Registered Nurse 5210 Timberland Dr, Little Rock, AR 72204 2014-07-14
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
1548696065 Jamie Washington Prosthetic/Orthotic Supplier 4701 Westwood Ave, Little Rock, AR 72204 2013-09-16
1124468913 Stephanie Rachelle Jez Genetic Counselor, MS 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 2013-06-26
1336492321 Alton Charles Phillips Sr. Counselor 4400shuffield Drive, Little Rock, AR 72204 2012-10-16
Find all providers in zip 72204

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437757630 Kaylah Charles Pediatrics 36 Melinda Dr, Little Rock, AR 72209-3341 2020-10-12
1073006680 Ezgi Saylam Pediatrics 15515 Capitol Hill Blvd Apt 616, Little Rock, AR 72223-7212 2018-06-08
1851889356 Arkansas Pediatric Clinic, Pllc Pediatrics 16115 Saint Vincent Way Ste 320, Little Rock, AR 72223-3000 2018-04-30
1306377890 Charles Pugh Pediatrics 1 Childrens Way # 519-19a, Little Rock, AR 72202-3500 2017-03-25
1225492929 Kevin Weaver Jr. Pediatrics #1 Children's Way, Slot Ach 512-19a, Little Rock, AR 72202 2016-04-08
1255727756 Stephen Nathaniel Epps Pediatrics 1 Childrens Way # 512-19b, Little Rock, AR 72202 2015-04-10
1902225220 Hannah B Wilkins Pediatrics 1 Childrens Way # 512-1, Little Rock, AR 72202-3500 2014-04-15
1467871509 Elaine Odiase Pediatrics 1 Childrens Way # 517-7, Little Rock, AR 72202-3500 2014-04-15
1245658376 Natalie Nelson Burr Pediatrics 500 S University Ave Ste 400, Little Rock, AR 72205-5306 2014-04-05
1770907404 Janece Hiegel Pediatrics 16112 Patriot Dr, Little Rock, AR 72212-2669 2014-02-17
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72204

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Dataset Information

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.

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