Kirksville Academic Medicine LLC
NPI 1396876355ActiveOrganization· Internal Medicine· Kirksville, MO
Internal Medicine in Kirksville, Missouri, registered in NPPES in March 2007, part of Kirksville Academic Medicine LLC. The authorized official on file is Debbie T. Brewer, Director Of Provider Enrollment.
Overview
| NPI | 1396876355 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kirksville Academic Medicine LLC |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Oct 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | MO |
| Family Medicine | 207Q00000X | — | MO |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | MO |
| Urology | 208800000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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