Brian King, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

121057 Issued in NY

Practice address

102 Park Street
Suite 201
Glens Falls, NY 12801

Phone

(518) 798-1719

Fax

(518) 798-1943

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487704607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK STREET",
            "address_2": "SUITE 201",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-798-1719",
            "fax_number": "518-798-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK STREET",
            "address_2": "SUITE 201",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-798-1719",
            "fax_number": "518-798-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "121057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00352314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gamal Garhy Khalifa, MD
• Kate V Kilgallon, MS OTR/L CHT
• Lori M Killon, RPA-C
• Kelly-Ann Kim, M.D.
• Kindred Wellness Care NP in Psychiatry PLLC
• Brittany King, PMHNP
• Tara Elizabeth King, R.N.
• Melody Kinsley, D.O.
• Mark T Kircher, MD
• Douglas P Kirkpatrick, MD

• Urology Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Urology Physician in New York

• 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.

Verify at the official NPI Registry.