DR. BRANDON J KIM (NPI# 1962496323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962496323 |
| Entity Type | Individual |
| Full Name | DR. BRANDON J KIM |
| Credential | DPM |
| Practice Address |
1002 E Mcdowell Rd Suite A Phoenix AZ 85006-2625 |
| Practice Telephone | 6022622663 |
| Practice Fax Number | 6022583008 |
| Mailing Telephone | 6022622663 |
| Mailing Fax Number | 6022583008 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
00571 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE ID-PIN | Z84078 | 01 |
| AZ | 797897 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267173 | Brandon Hoongyung Kim | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2019-04-05 |
| 1558821215 | Brandon K Kim | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2019-03-20 |
| 1821354770 | Brandon Juntae Kim | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2012-04-04 |
| Street Address |
1002 E MCDOWELL RD SUITE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932255791 | Copper State Orthopedics, Ltd | Orthopaedic Surgery | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2007-01-26 |
| 1881703353 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1002 E Mcdowell Rd, Phoenix, AZ 85006-2625 | 2006-08-29 |
| 1578507901 | Susan Kimberly Martin | Registered Nurse | 1002 E Mcdowell Rd, Suite 120, Phoenix, AZ 85006-2625 | 2006-06-15 |
| 1023086113 | Elite Foot and Ankle Surgical Specialists | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2006-03-14 |
| 1659349918 | Urgent Care Plus L.L.C. | Clinic/Center | 1002 E Mcdowell Rd, Suite # 120, Phoenix, AZ 85006-2625 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396894598 | Thuy-linh Duy Nguyen | Podiatrist | 3334 Paper Mill Rd, Phoenix, MD 21131-1419 | 2007-01-09 |
| 1932143658 | Dpmjonesnraz LLC | Podiatrist | 4318 E Darrel Rd, Phoenix, AZ 85042-5227 | 2006-06-15 |
| 1477500387 | Noland Jones | Podiatrist | 4318 Darrel Road, Phoenix, AZ 85040 | 2006-05-27 |
| 1528026044 | David Francis Corcoran | Podiatrist | 4155 N 108th Ave Ste 101, Phoenix, AZ 85037-5464 | 2006-05-03 |
| 1972922755 | Holly West | Podiatrist | 4520 N 12th St, Suite 100, Phoenix, AZ 85014-4233 | 2014-04-09 |
| 1376725895 | Barbara R Kluger | Podiatrist | 13825 N 7th St, Suite J, Phoenix, AZ 85022-4342 | 2007-11-27 |
| 1871678979 | Southwest Foot Institute Inc | Podiatrist | 926 E Mcdowell Rd, Suite 121, Phoenix, AZ 85006-2503 | 2006-10-26 |
| 1023086113 | Elite Foot and Ankle Surgical Specialists | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2006-03-14 |
| 1033188909 | Desert Foot Surgeons P L L C | Podiatrist | 2222 E Highland Ave, Suite 206, Phoenix, AZ 85016-4872 | 2006-03-14 |
| 1801889266 | Stephen Michael Geller | Podiatrist | 2222 E Highland Ave, Suite 206, Phoenix, AZ 85016-4872 | 2005-08-31 |
| Find all providers in PHOENIX | ||||
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| 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.