DR. KEVIN M. BRINKMAN MD
NPI 1619552908
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Q: What is Kevin Brinkman's NPI number?

The NPI number for Kevin Brinkman is 1619552908. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Q: What is Kevin Brinkman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Brinkman was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 17, 2021PECOS Enrolled

295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jul 23, 2024, Mar 16, 2023 and 1 more (4 updates tracked since 2021).

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About Dr. Kevin M. Brinkman Md NPPES

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

DR. KEVIN M. BRINKMAN MD (NPI 1619552908) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (14211252-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Ft Sam Houston.

NPPES Registry Identity

NPI1619552908

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KEVIN M. BRINKMANCredential: MD

Location Address295 S CHIPETA WAY RM 2S010Salt Lake City, UT 84108-1287

Mailing Address295 S Chipeta Way Rm 2s010Salt Lake City, UT 84108-1287 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMarch 17, 2021

Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1619552908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in UT · 14211252-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 0101276748 (VA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101276748 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

295 S CHIPETA WAY RM 2S010, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 13551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · Phone (210) 539-8784

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 M. Brinkman 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.

JOSLYNN MARIE HOBURG MD

Pediatrics (Neonatal-Perinatal Medicine)