DR. BRANDON SANG JOON KANG (NPI# 1871561803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871561803 |
| Entity Type | Individual |
| Full Name | DR. BRANDON SANG JOON KANG |
| Credential | MD |
| Practice Address |
3620 Howell Ferry Rd Duluth GA 30096-3178 |
| Mailing Address |
1000 Medical Center Blvd Lawrenceville GA 30046-7694 |
| Practice Telephone | 6783122400 |
| Practice Fax Number | 6783126999 |
| Mailing Telephone | 6783124440 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
054764 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
054764 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 149575161 | 05 | |
| GA | RR MEDICARE | P00760856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407087083 | Brandon B. Kang | Dentist | 1655 The Alameda, San Jose, CA 95126-2203 | 2009-07-31 |
| 1114302866 | Brandon S Kang | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2015-07-23 |
| Street Address |
3620 HOWELL FERRY RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953960 | Anne Elizabeth Hysong | Clinical Nurse Specialist | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2019-07-10 |
| 1144696964 | Brittany Alders | Physical Therapist | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2015-08-16 |
| 1255680070 | Laura Elizabeth Hobbs | Nurse Practitioner | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2012-09-07 |
| 1871759233 | Jeannie-in-a-bottle LLC | Physical Medicine & Rehabilitation | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2008-08-05 |
| 1720265861 | Michael Lubarsky | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2008-01-30 |
| 1598949570 | John Edward Chenevey | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837231 | Neel Anilkumar Patel | Radiology | 3840 Peachtree Industrial Blvd Ste 2275, Duluth, GA 30096 | 2010-07-31 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1487745253 | Phyllis Noss | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2006-09-27 |
| 1790711299 | Edward M Wineck | Radiology | 400 E Third Street, Duluth, MN 55805-1951 | 2006-06-25 |
| 1558338996 | Northern Imaging of Duluth LLC | Radiology | 930 E 2nd St, Duluth, MN 55805 | 2006-03-03 |
| 1114387529 | P J Noss Corporation | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2016-02-26 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1578821963 | Gabriel Edwards | Radiology | 400 E 3rd St, Duluth, MN 55805 | 2012-04-24 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| 1184856478 | Ananth Kumar Ravi | Radiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-08-20 |
| Find all providers in DULUTH | ||||
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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.