Brian Baum

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

279811 Issued in NY

Practice address

5 Kenmont Dr
Camillus, NY 13031-1511

Phone

(315) 751-4091

NPI assigned

Sep 20, 2010

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

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1265740534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KENMONT DR",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KENMONT DR",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311511",
            "telephone_number": "315-751-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "279811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Barletta, LCSW
• Kelvin Barnard
• Tricia Marie Barnello, RN
• John Joseph Barrett, RN
• Joseph T Barry, M.D.
• Jihad A Bengabr, MD
• Andrea Bestul, LMHC
• Zoryana R Bosak, N.P.
• Lisa Bost
• Kristin W Botwinick, CSW

• All providers in Camillus, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.