DR. KENNETH J. BREGG (M.D.) – Urology Physician, NPI 1588656904

DR. KENNETH J. BREGG (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. ME62142 (FL). The NPI Number for DR. KENNETH J. BREGG (M.D.) is 1588656904

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH J. BREGG (M.D.)
NPI
1588656904
Phone
(941) 917-2600
Address
PO BOX 863407
Enumeration Date
22 August 2005
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9419175400
Graduation Year
1984 (42 years ago)
PAC ID
6305851718
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20071022000025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH J. BREGG (M.D.)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328863407

    Phone: (941) 917-2600

    Fax: (941) 917-7884

    Type: Mailing

  • Waldemere Street, Sarasota Heights, Sarasota, Sarasota County, Florida, 34239, United States

    SARASOTA, FL 34239

    Phone: (941) 917-5400

    Fax: (941) 917-5420

    Type: Location

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: 2007-10-22

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
I20071022000025IUrologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32886)

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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: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH J. BREGG (M.D.) in U.S. healthcare records?
The official identifier for DR. KENNETH J. BREGG (M.D.) is NPI 1588656904.
Would DR. KENNETH J. BREGG (M.D.) appear as active to a payer?
You can treat DR. KENNETH J. BREGG (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. KENNETH J. BREGG (M.D.)?
DR. KENNETH J. BREGG (M.D.) is associated with Urology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH J. BREGG (M.D.)?
Travel planning: use Orlando, Florida as the reference point for DR. KENNETH J. BREGG (M.D.), then confirm.
Can I trust this NPI listing for DR. KENNETH J. BREGG (M.D.)?
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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