Bruce S Kennedy MD PA
Bruce S Kennedy MD PA is a healthcare organization registered as Specialist in Ormond Beach, FL, holding Type 2 (organization) NPI 1841240678 since 2006. The authorized official on file is Bruce Kennedy, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1841240678 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bruce S Kennedy MD PA |
| Practice address | 411 LAKEBRIDGE PLAZA DR, SUITE B, Ormond Beach, FL, 32174 |
| Phone | 3866732547 |
| Fax | 3866736141 |
| Enumeration date | 2006-05-11 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Bruce Kennedy |
|---|---|
| Title | President |
| Phone | 3866732547 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | ME0043975 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02516 | Other | FL | BCBS |
Copy-ready billing details
Provider: Bruce S Kennedy MD PA NPI: 1841240678 Taxonomy: 174400000X (Specialist) Address: 411 LAKEBRIDGE PLAZA DR, SUITE B, Ormond Beach, FL, 32174
Verify this record
Cross-check NPI 1841240678 against the authoritative CMS record: view Bruce S Kennedy MD PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Bruce S Kennedy MD PA?
Who is the authorized official for Bruce S Kennedy MD PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.