Bradford J Kim (NPI# 1215297080, PAC ID# 1759528938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215297080 |
| PAC ID by PECOS | 1759528938 |
| Professional Enrollment ID | I20161103001202 |
| Full Name | Bradford J Kim |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
205 Hollow Tree Ln Houston TX 77090-2801 |
| Phone Number | 8322492700 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 205 Hollow Tree Ln, Houston, TX 77090-2801 | 8322492700 | KND DEVELOPMENT 59 LLC |
| 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 | 2819915463 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
205 HOLLOW TREE LN |
| City | HOUSTON |
| State | TX |
| Zip | 77090-2801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Srikanth Raayasa | Nephrology | Greater Houston Kidney Clinic Pa | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Cynthia H Moran | Family Medicine | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Jose M Fernandez | Psychiatry | 205 Hollow Tree Ln, Triumph Hospital of Nw, Houston, TX 77090-2801 | |
| Vanitha V Pothuri | Internal Medicine | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelson A Velazquez Liriano | Nurse Practitioner | 16700 Ella Boulevard, Ella Springs Senior Living Comunity, Houston, TX 77090 | |
| Lacrecia K Foster | Family Practice | Texas Alliance Medical Group | 14755 N Freeway, Houston, TX 77090 |
| Urmeel Hasmukh Patel | Hematology/oncology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Charles Yen | Hematology/oncology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Krishna K Pachipala | Hematology/oncology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Mohsen S Arani | Hematology/oncology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Leslie E Wilson | Rheumatology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Kwok Li | Ophthalmology | 17322 Red Oak Dr, Houston, TX 77090-1244 | |
| James T Fontenot Jr. | General Practice | 17400 Red Oak Dr, Houston, TX 77090-1246 | |
| Anand Balasubramanian | Internal Medicine | 17434 Red Oak Dr, Suite E, Houston, TX 77090-1246 | |
| Find all physicians in zip 77090 | |||
| City | HOUSTON |
| Zip Code | 77090 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOUSTON + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.