Kimberly Brown Brockenbrough, M.D.
NPI 1205864204ActiveIndividual· Radiology, Diagnostic Radiology· Phoenix, AZ
Radiology, Diagnostic Radiology (M.D.) in Phoenix, Arizona, trained at Saint Louis University School of Medicine (class of 1997). Mostly services rather than prescriptions: Medicare paid $6,499 for 169 patients in 2024, with only 45 Part D claims.
Overview
| NPI | 1205864204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 29, 2006 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 77183 | AZ |
| Radiology, Diagnostic Radiology | 2085R0202X | MD60484894 | WA |
| Radiology, Diagnostic Ultrasound | 2085U0001X | 036107196 | IL |
| Radiology, Diagnostic Radiology | 2085R0202X | 01093712A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AZ); Practitioner - Diagnostic Radiology (CO); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (IN); Practitioner - Diagnostic Radiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 206 across 28 procedure codes |
| Paid by Medicare | $6,499 |
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 49 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $80.96 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- District Medical Group IncPhoenix, AZ · 458 clinicians
- Reid Physician Associates IncRichmond, IN · 432 clinicians
- Henry County Memorial HospitalNew Castle, IN · 158 clinicians
- Summit Radiology P CFort Wayne, IN · 102 clinicians
- X-Ray Physicians of Shelbyville PCSun Prairie, WI · 45 clinicians
Hospital affiliations
- Adams Memorial HospitalDecatur, IN
- Henry County Memorial HospitalNew Castle, IN
- Kosciusko Community HospitalWarsaw, IN
- Lutheran Hospital of IndianaFort Wayne, IN
- Marion General HospitalMarion, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 283 diagnostic radiologists in Phoenix · All diagnostic radiologists in Arizona