DR. BRADLEY REED KILGORE AU.D.
NPI 1336997808
Audiologist-Hearing Aid Fitter in San Rafael, CA
About Dr. Bradley Reed Kilgore Au.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRADLEY REED KILGORE AU.D. (NPI 1336997808) is an individual audiologist-hearing aid fitter provider in San Rafael, California, licensed in California (3925) and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bradley Reed Kilgore Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bradley Kilgore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Kilgore's NPI number?
The NPI number for Bradley Kilgore is 1336997808. It was assigned to this individual provider in the NPPES registry on May 9, 2024.
Where is Bradley Kilgore located?
Bradley Kilgore practices at 1600 Los Gamos Dr Lbby A, San Rafael, CA 94903. The listed phone number is (415) 444-7400.
What is Bradley Kilgore's specialty?
The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.
Is Bradley Kilgore enrolled in Medicare?
Yes. Bradley Kilgore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bradley Kilgore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Kilgore reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Kilgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bradley Kilgore was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Bradley Reed Kilgore, AU.D. · NPI 1336997808
Audiologist-Hearing Aid Fitter provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since May 9, 2024.
## Identity
- **NPI:** 1336997808 (Entity type: Individual)
- **Enumerated:** May 9, 2024
- **Primary specialty:** Audiologist-Hearing Aid Fitter · taxonomy 237600000X
- **State license:** 3925 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 LOS GAMOS DR LBBY A, San Rafael, CA 94903-1806
- **Phone:** (415) 444-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336997808) · Data from the CMS NPPES public registry.