Provider Demographics
NPI:1972680262
Name:MCBRYDE, KEVIN D (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:D
Last Name:MCBRYDE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6701 DEMOCRACY BOULEVARD
Mailing Address - Street 2:I DEMOCRACY PLAZA, ROOM 638
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-4878
Mailing Address - Country:US
Mailing Address - Phone:301-594-0170
Mailing Address - Fax:301-480-8319
Practice Address - Street 1:6701 DEMOCRACY BOULEVARD
Practice Address - Street 2:I DEMOCRACY PLAZA, ROOM 638
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-2089
Practice Address - Country:US
Practice Address - Phone:301-594-0170
Practice Address - Fax:301-480-8319
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2020-11-16
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Provider Licenses
StateLicense IDTaxonomies
MDD587622080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G55815Medicare UPIN