Brandon Krol

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5501018578 Issued in MI

Practice address

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630

Phone

(800) 788-4815

NPI assigned

Mar 11, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1639637465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 HOLLOW CORNERS RD",
            "city": "DRYDEN",
            "state": "MI",
            "postal_code": "484289615",
            "telephone_number": "810-796-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194630",
            "telephone_number": "800-788-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROL",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501018578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Koury, M.S., CF-SLP
• Laura McCart Krishna, LPC - A
• Lauren Kritzer, FNP-C
• KRJ Billing & Practice Management
• Kroger Texas L P
• Audrey Ellen Kteily, LPC-S
• Seema A Kudsia, MD
• John Newell Kuhre, D.D.S.
• Marian L'Huillier, OTR
• Emily Lackey, M.S., CCC/SLP

• Physical Medicine & Rehabilitation Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.