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Kirksville Academic Medicine LLC

Internal Medicine Physician in Kirksville, MO · enumerated 2007 · authorized official Debbie Brewer, Director of Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396876355

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Registry record

Entity type Organization (Type 2)
Legal business name Kirksville Academic Medicine LLC
Parent organization Kirksville Academic Medicine LLC
Practice address 800 W Jefferson St, Kirksville, MO, 63501
Fax (660) 626-2090
Enumeration date Mar 8, 2007
Last updated in NPPES Oct 21, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment

Other identifiers

Identifier Type State Issuer
0765826 Medicaid IA -
218276 Other MO ANTHEM BCBS
504459702 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kirksville Academic Medicine LLC?
Kirksville Academic Medicine LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-21.