Healthcare Provider Details

I. General information

NPI: 1376587717
Provider Name (Legal Business Name): BRIAN G KERR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 W NEWBERRY RD SUITE 301
GAINESVILLE FL
32607-2557
US

IV. Provider business mailing address

4340 W NEWBERRY RD SUITE 301
GAINESVILLE FL
32607-2557
US

V. Phone/Fax

Practice location:
  • Phone: 352-372-9414
  • Fax: 352-271-5393
Mailing address:
  • Phone: 352-372-9414
  • Fax: 352-271-5393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME84636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: