Brian J Kim, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

431 Issued in NE

Practice address

3901 W Norfolk Ave
Norfolk, NE 68701-4405

Phone

(402) 844-8110

Fax

(402) 844-8113

NPI assigned

Apr 5, 2011

Last updated

Sep 19, 2022By 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 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yankton Medical Clinic PCGroup PAC ID 1850208778, 59 clinicians

Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkim@direct.yanktonmedicalclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yankton Medical Clinic PC

  • Internal Medicine Physician
  • Yankton, SD
  • NPI 1447251350

  NE

  Medicare reassignment Care Compare group NPD
• Sacred Heart Health Services

  dba Avera Medical Group Podiatry Yankton

  • Foot & Ankle Surgery Podiatrist
  • Yankton, SD
  • NPI 1508093147

  NE

  Medicare reassignment Care Compare group
• Sacred Heart Health Services

  dba Avera Hartington Clinic

  • Rural Health Clinic/Center
  • Hartington, NE
  • NPI 1518226190
  NPD
• Sacred Heart Health Services

  • General Practice Physician
  • Yankton, SD
  • NPI 1205703659
  NPD
• Yankton Medical Clinic PC

  dba Yankton Medical Clinic Pharmacy

  • Community/Retail Pharmacy
  • Yankton, SD
  • NPI 1811003866
  NPD

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1437448081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-844-8110",
            "fax_number": "402-844-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-844-8110",
            "fax_number": "402-844-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60204165",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2014028198",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001514",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkim@direct.yanktonmedicalclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3901 W Norfolk Ave",
            "city": "Norfolk",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687014405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malinda Kiichler
• Wade Kiichler
• Bernadette Kilcoin
• Marquita Ann Kilcoin
• Kalyn Killin
• Kimberly Ellenberger Counseling LLC
• Jeffrey Kimble
• Kendra Jo Kimble, SLP
• Lacy Ann Kimes
• Rhonda King

• Audiologist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Audiologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.