Active NPI
Brent R Korn, D.O.
- Internal Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1811078025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4328
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4328 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Medical, LLC | Current | Accepting new patients | |
| Gita Jafari-Raske, M.D., PLLC | Internal Medicine | Past | 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.
-
- General Practice Physician
- Gilbert, AZ
- NPI 1841570512
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1154556900
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1043492481
-
dba Mt. Carmel Family Practice
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
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.