Brigitte Korkuch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6645 Alvarado Rd
Ste 415
San Diego, CA 92120-5208

Phone

(619) 229-4941

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brigitte Brousseau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1407181035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "STE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "STE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKUCH",
        "first_name": "BRIGITTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGITTE",
            "last_name": "BROUSSEAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Korhummel
• Gabriella Korio
• Jasna Korkaric, LPCC
• Katya Kamil Korkees
• Saarai Korkmaz
• Farah Ryiadh Kormangy
• Patricia Ann Kormanik, NP
• Tyler Kormos, IDC
• Jeffrey David Korn, DPM
• Michael David Korn, RBT

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.