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

Dr. Kevin M Supple, MD

Individual provider Specialist · NPI 1326049412

Dr. Kevin M Supple, MD is a Sports Medicine in Greensboro, North Carolina. Graduated from University of Southern California Keck School of Medicine in 1988, 38 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Trained at
University of Southern California Keck School of Medicine
Licensed in
NC
In the registry since
2005
Specialties on file
3
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

3200 Northline Ave Ste 200
Greensboro, NC 27408-7616
Phone: (336) 545-5000
Fax: (336) 545-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 36604 (NC)
Specialist Taxonomy 174400000X · Licence 36604 (NC)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 36604 (NC)

Record details

NPI number1326049412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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