DR. BRIAN YONGTAE KIM (NPI# 1033111950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111950 |
| Entity Type | Individual |
| Full Name | DR. BRIAN YONGTAE KIM |
| Credential | D.O. |
| Practice Address |
5 Executive Park Ct Germantown MD 20874-2643 |
| Practice Telephone | 3019162600 |
| Practice Fax Number | 3019169343 |
| Mailing Telephone | 3019162600 |
| Mailing Fax Number | 3019169343 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
H-50722 | MD | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
5 EXECUTIVE PARK CT |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1891352241 | Dawn Thomas | Physical Medicine & Rehabilitation | 11392 Livingston Rd, Fort Washington, MD 20744-5143 | 2019-05-21 |
| 1497220271 | Thomas Andrew Allen | Physical Medicine & Rehabilitation | 10801 Bellehaven Blvd, Damascus, MD 20872-2201 | 2018-10-09 |
| 1003313966 | Performance Physical Therapy and Sports Rehabilitation LLC | Physical Medicine & Rehabilitation | 5501 Twin Knolls Rd Ste 111, Columbia, MD 21045-3260 | 2018-04-09 |
| 1760877492 | Marc Philip Gruner | Physical Medicine & Rehabilitation | 6608 River Trail Ct, Bethesda, MD 20817-4324 | 2015-03-31 |
| 1679890636 | Justin D Waltrous | Physical Medicine & Rehabilitation | 8096 Edwin Raynor Blvd Ste C, Pasadena, MD 21122-6837 | 2010-04-29 |
| 1811181795 | Barbara Semakula | Physical Medicine & Rehabilitation | 9700 Veirs Dr, Rockville, MD 20850 | 2007-09-04 |
| 1275180424 | Johns Hopkins University | Physical Medicine & Rehabilitation | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1528614690 | Resilient Physiotherapy | Physical Medicine & Rehabilitation | 8303 Pulaski Hwy, Baltimore, MD 21237-2962 | 2019-08-14 |
| 1073166542 | Edith Callahan | Physical Medicine & Rehabilitation | 7 W Ridgely Rd Ste A, Timonium, MD 21093-5135 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.