KEPHARTSPORTSMEDICINE LLC
NPI 1598400392
Family Medicine - Sports Medicine in Doylestown, PA

Active since May 05, 2022
403 HYDE PARK, DOYLESTOWN, PA 18902(267) 406-4083(267) 406-4659 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kephartsportsmedicine Llc NPPES

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

KEPHARTSPORTSMEDICINE LLC (NPI 1598400392), doing business as Buckingham Sports Medicine And Wellness, is a healthcare organization registered as a sports medicine in Doylestown, Pennsylvania and active in the NPI registry since May 2022. The organization lists Eric M Kephart, Owner, as its authorized official.

NPPES Registry Identity

NPI1598400392
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameKEPHARTSPORTSMEDICINE LLC
Location Address403 HYDE PARKDoylestown, PA 18902-6619
Mailing Address403 Hyde ParkDoylestown, PA 18902-6619 · (267) 406-4083 · Fax (267) 406-4659
Fax(267) 406-4659
Organization SubpartNo
Authorized OfficialEric M KephartOwner · (267) 980-1864
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1598400392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
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.
403 HYDE PARK, Doylestown, PA 18902

Other Names 1

Doing Business AsBuckingham Sports Medicine And Wellness

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kephartsportsmedicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kephartsportsmedicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sports Medicine
NPI 1104913680
100 LINCOLN HWY
Fairless Hills, PA 19030
(267) 587-0775
✔ PECOS✔ Accepts Medicare15 mi

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 Kephartsportsmedicine LLC's NPI number?

The NPI number for Kephartsportsmedicine LLC is 1598400392. It was assigned to this organization in the NPPES registry on May 5, 2022. The provider is doing business as Buckingham Sports Medicine and Wellness.

Where is Kephartsportsmedicine LLC located?

Kephartsportsmedicine LLC is located at 403 Hyde Park, Doylestown, PA 18902. The listed phone number is (267) 406-4083.

What is Kephartsportsmedicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kephartsportsmedicine LLC enrolled in Medicare?

Yes. Kephartsportsmedicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kephartsportsmedicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Sports Medicine) reassigns their Medicare billing to Kephartsportsmedicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kephartsportsmedicine LLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.