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KEVIN MCDERMOTT D.O.
NPI 1942680962
General Practice in Camp Lejeune, NC

Active since June 04, 2015PECOS Enrolled
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-3138 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Mcdermott D.o. NPPES

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

KEVIN MCDERMOTT D.O. (NPI 1942680962) is an individual general practice provider in Camp Lejeune, North Carolina, licensed in Nebraska (1570) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942680962
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKEVIN MCDERMOTTCredential: D.O.
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547
Mailing Address102 Crystal Stone WayJacksonville, NC 28546 · (619) 820-2721
Phone(910) 450-3138
Sole ProprietorYes
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 19, 2016
✔ NPI 1942680962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 1570
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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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)

Kevin Mcdermott D.o. 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.

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

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 Kevin Mcdermott's NPI number?

The NPI number for Kevin Mcdermott is 1942680962. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Kevin Mcdermott located?

Kevin Mcdermott practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-3138.

What is Kevin Mcdermott's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kevin Mcdermott enrolled in Medicare?

Yes. Kevin Mcdermott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mcdermott was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.