Brian a. King

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIAN A. KING

Practice address

6142 Roosevelt Rd
Suite 105
Oak Park, IL 60304-2311

Phone

(708) 848-0021

Fax

(708) 848-0598

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Brian A KingNPI 1962439091

Title

Podiatrist

Phone

(708) 848-0021

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian A King, DPM

  • Podiatrist
  • Oak Park, IL
  • NPI 1962439091
  NPD Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1639344781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 W ROOSEVELT ROAD",
            "address_2": "SUITE 105",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-848-0021",
            "fax_number": "708-848-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 ROOSEVELT RD",
            "address_2": "SUITE 105",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042311",
            "telephone_number": "708-848-0021",
            "fax_number": "708-848-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "708-848-0021"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004091",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Leon Bray, MD
• Meghan A Breen, MSW
• Karina Breezer
• Sheila Maureen Brennan-Johnson
• Sherri Ann Brennan, R.D.
• Jasmine Haley Brice
• Bridgemark Medical Supply LLC
• Colin A. Brietzke, PSY. D.
• Justine Britten, RDN
• Esther S. Brodsky, LCSW

• Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.