Brookview Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A43368 Issued in CA

Legal business name

BROOKVIEW MEDICAL CORPORATION

Practice address

1000 E Latham Ave
Suite C
Hemet, CA 92543-4409

Phone

(951) 658-3221

Fax

(951) 658-4657

NPI assigned

Feb 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jae Hwa Kim, M.D.

Title

Medical Director

Phone

(951) 658-3221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1194869248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E LATHAM AVE",
            "address_2": "SUITE C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434409",
            "telephone_number": "951-658-3221",
            "fax_number": "951-658-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E LATHAM AVE",
            "address_2": "SUITE C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434409",
            "telephone_number": "951-658-3221",
            "fax_number": "951-658-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVIEW MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HWA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-658-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A43368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A433680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridging Lives LLC
• Bridging Lives LLC
• Bridging Lives LLC
• Evelyn Bright, FNP
• Igor Mark Bron, MD
• Margaret Brophy
• Linda Carol Broussard, P.A.-C.
• Thelma Brown-Thompson
• Catherine Susie Brown, NP-C
• Heather Brown

• Obstetrics & Gynecology Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.