DR. BRIAN K. KIM


Address: 3840 Broadway, Fort Myers, FL 33901-8108
Phone: 2392756400

DR. BRIAN K. KIM (NPI# 1861483166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861483166
Entity Type Individual
Full Name DR. BRIAN K. KIM
Credential M.D.
Practice Address 3840 Broadway
Fort Myers
FL 33901-8108
Mailing Address 4371 Veronica S Shoemaker Blvd
Fort Myers
FL 33916-2216
Practice Telephone 2392756400
Practice Fax Number 2392750178
Mailing Telephone 2392748200
Mailing Fax Number 2392783350
Enumeration Date 2005-11-04
Last Update Date 2010-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
ME66697 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 375598300 05
FL RR MEDICARE 830004833 01

Other Providers BRIAN KIM

NPI Name Taxonomy Address Enumeration
1407487440 Brian Kim Student in an Organized Health Care Education/Training Program 340 E 23rd St Apt 7c, New York, NY 10010-4748 2020-01-29
1407284714 Brian Woogi Kim Physical Therapist 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 2013-10-23
1902241573 Brian A Kim Anesthesiology 7115 Greenback Ln Fl 1, Citrus Heights, CA 95621-6133 2013-05-08
1699022111 Brian Byoungsoo Kim Physical Therapist 1962 Roanoke Ave, Tustin, CA 92780-6635 2012-08-15
1437448081 Brian J Kim Audiologist 1107 College Ave Ste 2, Quincy, IL 62301-2600 2011-04-05
1588804611 Brian T Kim Dentist 7501 Hospital Dr Ste 202, Sacramento, CA 95823-5405 2009-03-02
1598989063 Brian Kim Dentist 25211 Paseo De Alicia Ste 200, Laguna Hills, CA 92653-4614 2007-04-13
1295868636 Brian Songsu Kim Dentist 1406 Jefferson St, Delano, CA 93215-2222 2007-03-14
1467521443 Brian Chong-han Kim Dentist 222 N G St, #3, San Bernardino, CA 92410-3217 2006-11-06
1346299831 Brian Won-sik Kim Internal Medicine 1725 W Harrison St Ste 250, Chicago, IL 60612-3861 2006-05-10

Office Location

Street Address 3840 BROADWAY
City FORT MYERS
State FL
Zip Code 33901-8108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558665109 Laraine M Mouthaan Nurse Practitioner 3840 Broadway, Fort Myers, FL 33901-8108 2010-12-22
1033383351 Ryan K Olson Pathology 3840 Broadway, Fort Myers, FL 33901-8108 2008-04-17
1811187909 Syed Farhan Zafar Internal Medicine 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 2007-07-26
1881770659 Van G Rana Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2006-10-27
1932217148 Florida Cancer Specialists P L Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2006-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811536972 Daniel Wolfe Speech-Language Pathologist 3375 Evans Avenue, Fort Myers, FL 33901 2020-01-06
1841764065 Medicab Transportation, LLC Ambulance 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 2019-01-22
1760963649 Jamies Home Care Services LLC Home Health 1944 Suwanee Ave, Fort Myers, FL 33901 2018-08-28
1942673900 Adriana Ramnarine Dietitian, Registered 2727 Winkler Ave., Fort Myers, FL 33901 2015-11-12
1215327093 Carecommunity Inc. Foster Care Agency 4066 Evans Ave Ste 4, Fort Myers, FL 33901 2015-01-30
1013327832 Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC Chiropractor 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 2014-05-01
1588087076 Larry Philip Garrett Family Medicine 3543 Stuart Ct, Fort Myers, FL 33901 2014-02-04
1144657479 Janet M Michael Registered Nurse 3763 Evans Ave., Fort Myers, FL 33901 2013-10-01
1366879785 Gina Lee Guerrero Licensed Practical Nurse 3736 Evans Ave, Fort Myers, FL 33901 2013-09-30
1396186649 Ronald Edward Trapp Dentist 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 2013-07-16
Find all providers in zip 33901

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295094332 A. Dosoretz, Md Prof. Corp. Internal Medicine 2160 Colonial Blvd, Fort Myers, FL 33907-1410 2012-05-10
1811909070 Bhanuprasad Koneru Internal Medicine 12781 World Plaza Ln, Suite 1, Fort Myers, FL 33907-4078 2006-08-13
1861454696 Ananth Krishnan Iyer Internal Medicine 4371 Veronica S Shoemaker Blvd, Attn: Credentialing, Fort Myers, FL 33916-2216 2006-04-05
1265929723 American Oncology Partners, P.a. Internal Medicine 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905 2018-04-19
1538575410 Ocala Oncology Center Pl Internal Medicine 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 2014-07-11
1568717544 Magali Van Den Bergh Internal Medicine 8260 Gladiolus Dr, Fort Myers, FL 33908 2012-07-17
1265722060 Florida Cancer Specialists & Research Institute, LLC Internal Medicine 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 2011-04-13
1740477595 Lee Cancer Clinic Pllc Internal Medicine 12781 World Plaza Ln, Unit 1, Fort Myers, FL 33907-4078 2007-09-26
1811187909 Syed Farhan Zafar Internal Medicine 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 2007-07-26
1972669711 Florida Cancer Specialists P L Internal Medicine 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 2006-12-28
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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