DR. KEVIN PATRICK BRYAN M.D.
NPI 1104811512
Pediatrics in Sebring, FL

Q: What is Kevin Bryan's NPI number?

The NPI number for Kevin Bryan is 1104811512. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Kevin Bryan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bryan was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2005PECOS Enrolled

4200 SUN N LAKE BLVD, SEBRING, FL 33872(407) 975-0412(407) 975-0407 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Jul 16, 2020 (2 updates tracked since 2020).

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About Dr. Kevin Patrick Bryan M.d. NPPES

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

DR. KEVIN PATRICK BRYAN M.D. (NPI 1104811512) is an individual pediatrics provider in Sebring, Florida, licensed in Florida (ME121818) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104811512

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KEVIN PATRICK BRYANCredential: M.D.

Location Address4200 SUN N LAKE BLVDSebring, FL 33872-1986

Mailing Address4200 Sun N Lake BlvdSebring, FL 33872-1986 · (407) 975-0412 · Fax (407) 975-0407

Phone(407) 975-0412

Fax(407) 975-0407

Sole ProprietorYes

Enumeration DateSeptember 13, 2005

Last NPPES UpdateSeptember 1, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1104811512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME121818✔ Licensed in PA · MD417302

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License ME121818 (FL)

4200 SUN N LAKE BLVD, Sebring, FL 33872

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Secondary Practice Locations 2

Location 14200 Sun N Lake BlvdSebring, FL 33872-1986 · Phone (407) 975-0412 · Fax (407) 975-0407

Location 2307 Boatner Rd, Suite 114Eglin AFB, FL 32542-1391 · Phone (850) 883-8550

Other Identifiers 1

Medicaid015608500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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. Kevin Patrick Bryan M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

RAJKARAN BANGA MD

Student in an Organized Health Care Education/Training Program