DR. KYLE BENJAMIN HUMPHREY MD
NPI 1043014004
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Kyle Humphrey's NPI number?

The NPI number for Kyle Humphrey is 1043014004. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Kyle Humphrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Humphrey was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2025PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-5814 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kyle Benjamin Humphrey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE BENJAMIN HUMPHREY MD (NPI 1043014004) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043014004

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KYLE BENJAMIN HUMPHREYCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address1301 Primacy PkwyMemphis, TN 38119-0213 · (901) 448-0230 · Fax (901) 448-0404

Phone(901) 448-5814

Sole ProprietorYes

Enumeration DateApril 1, 2025

NPPES CertifiedApril 1, 2025

✔ NPI 1043014004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38103

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Benjamin Humphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program