KYLE BRIM PA NPI 1437639341

NPI Information

NPI: 1437639341
Provider Name: KYLE BRIM, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
111 S FRONT ST
HARRISBURG, PA
ZIP 17101
Phone: (717) 782-3131
Get Directions

Kyle Brim, PA is a medical physician assistant in Harrisburg, PA. Kyle Brim, PA NPI is 1437639341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 S FRONT ST
HARRISBURG, PA
ZIP 17101-010
Phone: (717) 782-3131

The NPI 1437639341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 1/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	MA060030	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	MA060030	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA060030	OTHER	PENNSYLVANIA	MEDICAL PHYSICIAN ASST LICENSE
2	OA004579	OTHER	PENNSYLVANIA	OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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