Active NPI
Brandon Kallman, MD
- Specialist
- Miami Beach, FL
National Provider Identifier
1477606176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME57666
- Practice address
- 4701 N Meridian Ave
Suite 7000
Miami Beach, FL 33140-2910 - Phone
- (305) 673-6164
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME57666 | FL | Primary |
Addresses
Primary practice location
4701 N Meridian Ave
Suite 7000
Miami Beach, FL 33140-2910
Mailing address
631 Island Rd
Miami, FL 33137-3324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57666 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477606176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 ISLAND RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N MERIDIAN AVE",
"address_2": "SUITE 7000",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402910",
"telephone_number": "305-673-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLMAN",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME57666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.