Provider Type Icon

KEVIN E PREWETT MD NPI 1710916408


NPI Information

NPI: 1710916408
Provider Name: KEVIN E PREWETT, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5 MOBILE INFIRMARY CIR
MOBILE, AL
ZIP 36607
Phone: (251) 435-2646
Get Directions

Kevin E Prewett, MD is an emergency medicine in Mobile, AL with 25 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kevin E Prewett, MD NPI is 1710916408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:1999

The provider's business location address is:

5 MOBILE INFIRMARY CIR
MOBILE, AL
ZIP 36607-513
Phone: (251) 435-2646
Fax: (251) 435-6478

The NPI 1710916408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD.24589ALABAMANo
2208M00000XHospitalistMD.24589ALABAMANo
3207Q00000XFamily MedicineMD.24589ALABAMANo
4207P00000XEmergency MedicineMD.24589ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1510-01020OTHERALABAMABCBS
2515-97202OTHERALABAMABCBS
3515-07857OTHERALABAMABCBS
4009991605MEDICAIDALABAMA
5009936037MEDICAIDALABAMA
6930124842MEDICARE PINALABAMA
7051555857MEDICARE PINALABAMA
81710916408OTHERALABAMATRICARE SOUTH
9009938388MEDICAIDALABAMA
10009936036MEDICAIDALABAMA
11510-48740OTHERALABAMABCBS
12009936038MEDICAIDALABAMA
13051507857MEDICARE PINALABAMA
14510-03492OTHERALABAMABCBS
15H35723MEDICARE UPINALABAMA
16009984160MEDICAIDALABAMA
17510-03483OTHERALABAMABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.