DR. BRIAN GLENN TIMM (NPI# 1457597106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457597106 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GLENN TIMM |
| Credential | DPM |
| Practice Address |
161 Riverside Dr Suite M08 Binghamton NY 13905-4176 |
| Practice Telephone | 6077237454 |
| Practice Fax Number | 6077231567 |
| Mailing Telephone | 6077237454 |
| Mailing Fax Number | 6077231567 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
AN006710 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 3608100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555988 | Brian Andrew Timm | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-3033 | 2009-10-13 |
| 1841276342 | Brian Jon Timm | Physical Therapist | 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-6337 | 2005-12-16 |
| Street Address |
161 RIVERSIDE DR SUITE M08 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1487103024 | Jaime Lynn Fernandez | Nurse Practitioner | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-09-23 |
| 1801249669 | Mary Ann Wilson | Audiologist | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-07-18 |
| 1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
| 1508249459 | Raza Ashraf | Family Medicine | 161 Riverside Dr, Binghamton, NY 13905 | 2015-07-09 |
| 1497183438 | Tina Marie Slocum | Advanced Practice Midwife | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2013-10-30 |
| 1659719409 | Nina C Gaube | Nurse Practitioner | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2013-06-13 |
| 1013254036 | Binghamton Plastic Surgery, Pllc | Specialist | 161 Riverside Dr, Suite 106, Binghamton, NY 13905-4176 | 2013-01-10 |
| 1922391754 | Michelle Ann Drilon | Pediatrics | 161 Riverside Dr, Suite 206, Binghamton, NY 13905-4176 | 2011-05-26 |
| 1992095483 | Kelly Eileen Teagle | Internal Medicine | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609236082 | Jessica Wilczek | Podiatrist | 10 Rotary Ave, Binghamton, NY 13905-4181 | 2016-02-29 |
| 1750752374 | Brandon Douglas Ewald | Podiatrist | 161 Riverside Dr Ste M08, Binghamton, NY 13905-4112 | 2015-10-08 |
| 1275061954 | Jeffrey Scott D'alessandro | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2017-05-25 |
| 1013323252 | Joseph William Romani | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-09 |
| 1083020267 | Joon Suk Hwang | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-08 |
| 1376986281 | Nathan Judd | Podiatrist | 33 Mitchell Ave, Suite 102, Binghamton, NY 13903-1642 | 2013-04-10 |
| 1457690885 | Kelly Ann Smith | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4255 | 2013-02-05 |
| 1245268739 | Darren J Weinheimer | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4219 | 2006-06-30 |
| 1639105018 | Southern Tier Associates In Podiatric Medicine & Surgery Pllc | Podiatrist | 161 Riverside Dr, Suite M08, Binghamton, NY 13905-4176 | 2006-06-25 |
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|---|---|---|---|---|
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| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
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| City | BINGHAMTON |
| Zip Code | 13905 |
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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.