DR. BRANDON J KIM DPM NPI 1962496323

NPI Information

NPI: 1962496323
Provider Name: DR. BRANDON J KIM, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
1002 E MCDOWELL RD
SUITE A
PHOENIX, AZ
ZIP 85006
Phone: (602) 262-2663
Get Directions

DR. Brandon J Kim, DPM is a primary podiatric medicine podiatrist in Phoenix, AZ. DR. Brandon J Kim, DPM NPI is 1962496323. 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:

1002 E MCDOWELL RD
SUITE A
PHOENIX, AZ
ZIP 85006-625
Phone: (602) 262-2663
Fax: (602) 258-3008

The enumeration date for this NPI number is 8/31/2005 and was last updated on 10/2/2007.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	00571	ARIZONA	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	Z84078	OTHER	ARIZONA	MEDICARE ID-PIN
2	U95186	MEDICARE UPIN	ARIZONA
3	797897	MEDICAID	ARIZONA
4	112761	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	INDIVIDUAL

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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