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

Dr. Kevin P Lipscomb, MD

Individual provider Family Medicine Physician · NPI 1285631028

Dr. Kevin P Lipscomb, MD is a Family Practice in Bradenton, Florida. Graduated from University of South Florida College of Medicine in 1994, 32 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
32
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2005
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

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone: (941) 907-6016
Fax: (941) 907-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME74654 (FL)

Record details

NPI number1285631028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address11505 Rangeland Pkwy, Bradenton, FL 34211-4041

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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