BRENDAN KIDDER (MD) – Family Medicine Physician, NPI 1275793929

BRENDAN KIDDER (MD) is a healthcare provider. based in National city, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A112379 (CA). The NPI Number for BRENDAN KIDDER (MD) is 1275793929

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN KIDDER (MD)
NPI
1275793929
Phone
(619) 474-2284
Address
2743 HIGHLAND AVE
Enumeration Date
16 June 2008
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
6193596600
Graduation Year
2004 (22 years ago)
PAC ID
1052582418
Group Practice PAC ID
7911395231
Professional Enrollment ID
I20110915000789
Address ID
CA921032105SA4077XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for BRENDAN KIDDER (MD)

  • 2743, Highland Avenue, National City, San Diego County, California, 91950, United States

    NATIONAL CITY, CA 919507410

    Phone: (619) 474-2284

    Fax: (619) 474-3919

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110915000789IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8424$0
36415Insertion of needle into vein for collection of blood sample5947$0
83036Hemoglobin a1c level1914$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
99239Hospital discharge day management, more than 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 91950)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911395231View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA
P S Y C H I A T R YCA
General SurgeryCA
Neurology, Vascular SurgeryCA
General SurgeryCA
R H E U M A T O L O G YCA
Colorectal Surgery (Proctology), General SurgeryCA
U R O L O G YCA
Internal Medicine, Interventional CardiologyCA
Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

What is BRENDAN KIDDER (MD)'s NPI number?
BRENDAN KIDDER (MD)'s NPI is 1275793929 — the number used across U.S. healthcare to identify this provider.
Would BRENDAN KIDDER (MD) appear as active to a payer?
You can treat BRENDAN KIDDER (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BRENDAN KIDDER (MD)?
At a glance, BRENDAN KIDDER (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BRENDAN KIDDER (MD) located near National City?
BRENDAN KIDDER (MD) currently maps to National City, California in this extract.
Can I trust this NPI listing for BRENDAN KIDDER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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