MR. KEVIN JOHN O'BRIEN CRNP NPI 1962644211

NPI Information

NPI: 1962644211
Provider Name: MR. KEVIN JOHN O'BRIEN, CRNP
Classification: Nurse Practitioner - 363LA2200X
Specialization: Adult Health
Entity Type: Individual
PECOS Registration: Yes
Address: NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE
BLDG. 10 CRC RM 3-2551
BETHESDA, MD
ZIP 28092
Phone: (301) 435-2824

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NPI Details

MR. Kevin John O'brien, CRNP is an adult health nurse practitioner in Bethesda, MD. MR. Kevin John O'brien, CRNP NPI is 1962644211. 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:

NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE
BLDG. 10 CRC RM 3-2551
BETHESDA, MD
ZIP 28092-205
Phone: (301) 435-2824
Fax: (301) 496-7157

The NPI 1962644211 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 4/1/2009 and was last updated on 4/1/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R115472	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R115472	OTHER	MARYLAND	RN LICENSE NUMBER
2	0320208	OTHER	MARYLAND	ADULT NP CERTIFICATION NUMBER

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: 11/21/2025

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