Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982916359 Individual Practitioner Female Practitioner

Dr. Kimberly Patricia Brathwaite , MD

Pediatrics • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Brathwaite, MD is a registered healthcare professional specializing in Pediatrics in South Bend, IN. Practice services are available at 615 N MICHIGAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

615 N Michigan St
Newborn Icu

South Bend, IN 466011033

Telephone 5746471000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.3 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
27 Specialists

Practicing in South Bend, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35121890

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License IN 01076050A

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Rachel Jennings , NP

Nurse Practitioner

NPI 1003669839

Nurse Practitioner

NPI 1013657568

Doctor of Medicine (M.D.)

Courtney Dunlap , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043167505

Certified Registered Nurse Anesthetist

NPI 1093925307

Doctor of Medicine (M.D.)

Reyna Reyes , BSN, RN

Registered Nurse - Emergency

NPI 1104623123

Bachelor of Science in Nursing, Registered Nurse

Samantha Shankshaw

Registered Nurse - Emergency

NPI 1114868833

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2016

Registered at 615 N MICHIGAN ST, NEWBORN ICU, SOUTH BEND, IN 466011033 (Tel: 5746471000)

📍
Updated Business Mailing Address July 14, 2016

Registered at 615 N MICHIGAN ST, NEWBORN ICU, SOUTH BEND, IN 466011033 (Tel: 5746471000)

👤
Provider Name / Credentials Updated July 14, 2016

Recorded as KIMBERLY BRATHWAITE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Pediatrics (License #35121890 in OH)

🟢
Initial NPI Registration & Enumeration July 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982916359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2010
Last Update: July 14, 2016
Sole Proprietor: No

Mailing Address

615 N Michigan St, Newborn Icu

South Bend, IN 466011033

Phone: 5746471000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.