BRIAN Y. KIM, D.O., P.A. (NPI# 1982801726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982801726 |
| Entity Type | Organization |
| Organization Name | BRIAN Y. KIM, D.O., P.A. |
| Practice Address |
13217 Executive Park Ter Germantown MD 20874-2647 |
| Practice Telephone | 3019162600 |
| Practice Fax Number | 3019169343 |
| Mailing Telephone | 3019162600 |
| Mailing Fax Number | 3019169343 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN Y. KIM (PRESIDENT) |
| Authorized Official Telephone | 3019162600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0050722 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
13217 EXECUTIVE PARK TER |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699175711 | Orthopaedic Manual Therapy Specialists, LLC | Physical Therapist | 13217 Executive Park Ter, Germantown, MD 20874-2647 | 2014-08-26 |
| 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 | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972792109 | Charles C Reel, M.d. | Neuromusculoskeletal Medicine, Sports Medicine | 30065 Business Center Dr Ste 3, Charlotte Hall, MD 20622-3196 | 2007-10-24 |
| 1659420990 | Stephen R Fahey | Neuromusculoskeletal Medicine, Sports Medicine | Univ of Md Health Ctr, Campus Drive, Bldg. 140, College Park, MD 20742-0001 | 2007-01-09 |
| 1144333972 | Thomas D Caruso | Neuromusculoskeletal Medicine, Sports Medicine | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2006-08-16 |
| 1225043045 | Heather P Peirce | Neuromusculoskeletal Medicine, Sports Medicine | 220 Baltimore Ave, Cumberland, MD 21502-2442 | 2006-07-30 |
| 1174586556 | Zohair Shehzad Alam | Neuromusculoskeletal Medicine, Sports Medicine | 8830 Cameron Ct Ste 333, Silver Spring, MD 20910-4155 | 2006-04-07 |
| 1851376651 | Joan Luo | Neuromusculoskeletal Medicine, Sports Medicine | 8943 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-12-14 |
| 1356997530 | Kaizen Chiropractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 4641 Montgomery Ave Ste 404, Bethesda, MD 20814-3431 | 2019-08-14 |
| 1902104581 | Upper Chesapeake Neurodiagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 101 Chesapeake Blvd, Suite D, Elkton, MD 21921-6607 | 2011-03-07 |
| 1902028939 | Frank Javier Tanon | Neuromusculoskeletal Medicine, Sports Medicine | 2411 W Belvedere Ave, Suite 104, Baltimore, MD 21215-5228 | 2007-05-02 |
| 1629104583 | David Philip Moss | Neuromusculoskeletal Medicine, Sports Medicine | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on BRIAN Y. KIM, D.O., P.A..
| 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.