Organization Active NPI

Brian S Klee DPM

  • Podiatrist
  • Temple, PA
National Provider Identifier
1386710432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004207R Issued in PA
Legal business name
BRIAN S KLEE DPM
Practice address
4148 Kutztown Rd
Temple, PA 19560
Phone
(610) 375-0395
Fax
(610) 685-7849
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian S Klee, DPMNPI 1932129178
Title
Owner
Phone
(610) 375-0395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004207R PA Primary

Addresses

Primary practice location

4148 Kutztown Rd
Temple, PA 19560

Mailing address

4148 Kutztown Rd
Temple, PA 19560
Phone (610) 375-0395

Other identifiers 2

IdentifierTypeStateIssuer
02341000OtherPACAPITAL BLUE CROSS
719337OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386710432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 KUTZTOWN RD",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "19560",
            "telephone_number": "610-375-0395",
            "fax_number": "610-685-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4148 KUTZTOWN RD",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "19560",
            "telephone_number": "610-375-0395",
            "fax_number": "610-685-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S KLEE DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-375-0395",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004207R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02341000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "719337",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.