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DR. KEVIN BRYAN CLEMENT M.D. NPI 1578509725


NPI Information

NPI: 1578509725
Provider Name: DR. KEVIN BRYAN CLEMENT, M.D.
Classification: Family Medicine - 207QS0010X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 268-5630
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DR. Kevin Bryan Clement, M.D. is a sports medicine family medicine in Hattiesburg, MS. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. DR. Kevin Bryan Clement, M.D. NPI is 1578509725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 268-5630
Fax: (601) 268-5819

The NPI 1578509725 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 6/22/2006 and was last updated on 7/2/2010.


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
1207P00000XEmergency Medicine00022961ALABAMANo
2207QS0010XFamily MedicineSports Medicine16905MISSISSIPPIYes

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
15750556OTHERMISSISSIPPIAETNA
2G52532MEDICARE UPIN
3009935563MEDICAIDALABAMA
4302I089122MEDICARE PINMISSISSIPPI
500123076MEDICAIDMISSISSIPPI
6051557328CLEMEDICARE ID-TYPE UNSPECIFIEDALABAMA
71353817OTHERMISSISSIPPICIGNA

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.