Individual provider Active NPI

Brent R Korn, D.O.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1811078025
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4328 Issued in AZ
Practice address
8759 E Bell Rd
Scottsdale, AZ 85260-1322
Phone
(602) 569-4144
Fax
(602) 569-4244
NPI assigned
Oct 17, 2006
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4328 AZ Primary

Addresses

Primary practice location

8759 E Bell Rd
Scottsdale, AZ 85260-1322

Mailing address

8759 E Bell Rd
Scottsdale, AZ 85260-1322
Phone (602) 569-4144

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4328AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Medical, LLC CurrentSince Feb 27, 2013 Accepting new patients
Gita Jafari-Raske, M.D., PLLC Internal Medicine PastSince Sep 29, 2019 Accepting new patients
Desert Canyon Internal Medicine PLLC Internal Medicine Past Accepting new patients
Mount Carmel Health Family Medicine Past Accepting new patients
4C Medical Group PLC Family Medicine Past Accepting new patients

Locations

2915 E Baseline Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 354-6700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1811078025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "602-569-4144",
            "fax_number": "602-569-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8759 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "602-569-4144",
            "fax_number": "602-569-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "BRENT",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.