Kirk Brandow, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 042237 Issued in PA

Practice address

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108

Phone

(610) 617-7949

Fax

(610) 617-7969

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750413852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-617-7949",
            "fax_number": "610-617-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-617-7949",
            "fax_number": "610-617-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOW",
        "first_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD 042237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Bopp, PH.D.
• Lawrence S Borow, M.D.
• Eve Bosnick, MSN,CRNP
• Samantha Lynn Bradford, DPT
• Scott A Bralow, D.O.
• Eliyahu Breiner, LSW
• Lauren E Brennan, PA-C
• Gail B Brenner, AU.D.
• Ira Brenner, M.D.
• Roberta K Brenner, L.C.S.W.

• All providers in Bala Cynwyd, PA
• Specialist in Pennsylvania

• 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.