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

Paige Koenig Pennebacker, MD

Individual provider Surgery Physician · NPI 1891784724

Paige Koenig Pennebacker, MD is a Surgery Physician in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2005.

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

315 75th St W
Bradenton, FL 34209-3201
Phone: (941) 761-0500
Fax: (855) 521-2857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME62365 (FL)

Record details

NPI number1891784724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESOctober 3, 2018

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