Provider Demographics
NPI:1043252463
Name:KEMPTON, BRIAN J (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:KEMPTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 DAHLIA RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-0744
Mailing Address - Country:US
Mailing Address - Phone:936-662-5505
Mailing Address - Fax:
Practice Address - Street 1:12717 INTERSTATE 45 N STE 300
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-7035
Practice Address - Country:US
Practice Address - Phone:936-228-7598
Practice Address - Fax:936-228-7599
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37474207P00000X
TXH8170207P00000X
UT7546975-1205207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE75982Medicare UPIN