Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon J. Kennedy, MD

Individual provider Ophthalmology Physician · NPI 1699395624

Brandon J. Kennedy, MD is an Ophthalmology in Salt Lake City, Utah. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
UT
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

65 Mario Capecchi Dr Salt Lake City UT 84132
Salt Lake City, UT 84132-0001
Phone: (801) 581-2352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 12439653-1205 (UT)

Record details

NPI number1699395624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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