IndividualActive
Kevin Niebaum, D.O.
NPI 1760449383 · Pediatrics Physician · Jacksonville, FL
Kevin Niebaum, D.O. is a Pediatrics Physician provider in Jacksonville, FL (NPI 1760449383).
Provider details
- NPI number
- 1760449383
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 047353 (GA)
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
2080 Child St
Jacksonville, FL 32214-3647
Phone: (904) 542-9703
Fax: (904) 542-9483
Street-level locationGet directions
Mailing address
2080 Child St
Jacksonville, FL 32214-3600
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Frequently asked questions
- What is Kevin Niebaum's NPI number?
- Kevin Niebaum's National Provider Identifier (NPI) is 1760449383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Niebaum's specialty?
- Kevin Niebaum is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Niebaum located?
- Kevin Niebaum's practice location on file with NPPES is 2080 Child St, Jacksonville, FL 32214-3647.
- What is Kevin Niebaum's phone number?
- The practice phone number listed in the NPPES registry for Kevin Niebaum is (904) 542-9703.
- Is Kevin Niebaum's NPI active?
- Yes — Kevin Niebaum's NPI (1760449383) is active in the NPPES registry as of the last update on 2025-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.