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W. PHILLIP KINNEBREW MD
NPI 1831170984
Family Medicine in Shreveport, LA

Active since November 07, 2005PECOS Enrolled
2508 BERT KOUNS LOOP, SUITE 102, SHREVEPORT, LA 71118(318) 688-6630(318) 688-6014 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About W. Phillip Kinnebrew Md NPPES

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

W. PHILLIP KINNEBREW MD (NPI 1831170984) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (016341) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831170984
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameW. PHILLIP KINNEBREWCredential: MD
Location Address2508 BERT KOUNS LOOP, SUITE 102Shreveport, LA 71118-3133
Mailing Address2508 Bert Kouns Loop, Suite 102Shreveport, LA 71118-3133 · (318) 688-6630 · Fax (318) 688-6014
Phone(318) 688-6630
Fax(318) 688-6014
Sole ProprietorNo
Enumeration DateNovember 7, 2005
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1831170984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 016341
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 BERT KOUNS LOOP, Shreveport, LA 71118
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Other Identifiers 1

Medicaid1338494LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

W. Phillip Kinnebrew 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$81.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

O ALLEN GERMAN MD
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 688-6090
EDDIE D. JOHNSON MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
MELANIE C. FREDERICK MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118
Caddo Parish (318) 687-5277
DR. CYNTHIA GAIL MONTGOMERY MD
Specialist
2508 BERT KOUNS LOOP, SUITE 401
SHREVEPORT, LA 71118
Caddo Parish (318) 686-5440
GAYLON DAIGLE M.D.
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5343
BRAD COLVIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5360
GAYLON DAIGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5343
PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 688-6630

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 W. Kinnebrew's NPI number?

The NPI number for W. Kinnebrew is 1831170984. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is W. Kinnebrew located?

W. Kinnebrew practices at 2508 Bert Kouns Loop Suite 102, Shreveport, LA 71118. The listed phone number is (318) 688-6630.

What is W. Kinnebrew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is W. Kinnebrew enrolled in Medicare?

Yes. W. Kinnebrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for W. Kinnebrew was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.