Provider Type Icon

BRIAN WALTER KAEBNICK M.D. NPI 1407084593


NPI Information

NPI: 1407084593
Provider Name: BRIAN WALTER KAEBNICK, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: BAPTIST HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
222 S WOODS MILL RD STE 500N
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 205-6699
Get Directions

Brian Walter Kaebnick, M.D. is a cardiovascular disease internal medicine in Chesterfield, MO with 15 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Brian Walter Kaebnick, M.D. NPI is 1407084593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

222 S WOODS MILL RD STE 500N
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 205-6699
Fax: (314) 590-5923

The NPI 1407084593 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 6/26/2009 and was last updated on 12/7/2020.


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
1207RI0011XInternal MedicineInterventional Cardiology52594KENTUCKYNo
2207RC0000XInternal MedicineCardiovascular Disease2016011517MISSOURIYes

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
1PENDINGMEDICAIDKENTUCKY

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: 11/14/2023

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.