Brady Michael Koehl

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

10210 Orr and Day Rd
Santa Fe Springs, CA 90670-3581

Phone

(562) 348-0083

NPI assigned

Aug 9, 2023

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1245913821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 N NEARGLEN AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241046",
            "telephone_number": "281-917-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 ORR AND DAY RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703581",
            "telephone_number": "562-348-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHL",
        "first_name": "BRADY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Kim
• Christopher Kinai
• Travis Kincaid
• Nikita Klimashov
• Rachael Ann Knauf
• Rosa Maria Kolts, LMFT
• Nicole Danielle Koscielak
• Martha Ivette Kossuth
• Elaine Kozell
• Rebecca Kregstein

• Student in an Organized Health Care Education/Training Program in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.