BRYAN EDWARD KUBENA
NPI 1700214996
Physician Assistant in Fort Campbell, KY

Q: What is Bryan Kubena's NPI number?

The NPI number for Bryan Kubena is 1700214996. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Q: What is Bryan Kubena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Kubena was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 24, 2013PECOS Enrolled

650 JOEL DR, FORT CAMPBELL, KY 42223(979) 219-3946 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bryan Edward Kubena NPPES

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

BRYAN EDWARD KUBENA (NPI 1700214996) is an individual physician assistant in Fort Campbell, Kentucky and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700214996

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRYAN EDWARD KUBENA

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address4301 Wilson StFort Sill, OK 73503-4472

Phone(979) 219-3946

Sole ProprietorYes

Enumeration DateOctober 24, 2013

Last NPPES UpdateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1700214996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

650 JOEL DR, Fort Campbell, KY 42223

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Edward Kubena 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 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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

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.

LISA RENEE CORDELL RN

Registered Nurse