Kimberly Lynette Brown-Brinson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

9229 Bearint Way
Elk Grove, CA 95758-6441

Phone

(916) 802-9579

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1356033880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 LAGUNA BLVD STE 112-472",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584193",
            "telephone_number": "916-802-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 BEARINT WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586441",
            "telephone_number": "916-802-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BRINSON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Brooks
• Kindra Brooks
• Leonida Lopez Brooks, LVN
• Joel-David Broussard II
• Alyssa Marie Broussard
• Anthony Costell Brown, BT
• Bonnie Brown, LVN
• Breanna Brown
• Carly Hope Brown
• Deidra Brown

• Prosthetic/Orthotic Supplier in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.