OrganizationActive
Brigham Anesthesia South LLC
NPI 1699769232 · Anesthesiology Physician · Carbondale, IL
Provider details
- NPI number
- 1699769232
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gardner Kenny, Managing Member(618) 457-5111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 W Jackson St
Memorial Hospital of Carbondale
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 351-4849
Street-level locationGet directions
Mailing address
35 Albany Rd
Carbondale, IL 62903-7605
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2011-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.