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

Dr. Kimberly Brown Brockenbrough, MD

Individual provider Diagnostic Radiology Physician · NPI 1205864204

Dr. Kimberly Brown Brockenbrough, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Saint Louis University School of Medicine in 1997, 29 years ago. Practices with Henry County Memorial Hospital, a 152-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Illinois, Indiana and Washington.

Years since qualifying
29
Trained at
Saint Louis University School of Medicine
Licensed in
AZ, IL, IN, WA
In the registry since
2006
Specialties on file
4
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

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 Reid Pkwy, Richmond, IN 47374-1157 — (765) 983-3264
  • 19020 33rd Ave W, Lynnwood, WA 98036-4746 — (425) 563-1500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 77183 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60484894 (WA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 036107196 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01093712A (IN)

Record details

NPI number1205864204
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Henry County Memorial Hospital — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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