Active NPI
Brandon Young Hahm, M.D.
- General Practice Physician
- Aurora, CO
National Provider Identifier
1457641722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME144030
- Practice address
- 13001 E 17TH PL
Aurora, CO 80045-2570 - Phone
- (303) 724-6031
- NPI assigned
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | ME144030 | FL | Primary |
Addresses
Primary practice location
13001 E 17TH PL
Aurora, CO 80045-2570
Mailing address
6600 Autumnwood Dr
Arlington, TX 76016-4230
Phone (214) 282-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTD Network LLC | General Practice | Current | Accepting new patients |
Locations
1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101
1805 James L Redman Pkwy
#5412
Plant City, FL 33563
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1457641722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 AUTUMNWOOD DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760164230",
"telephone_number": "214-282-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "303-724-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHM",
"first_name": "BRANDON",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME144030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.