Active NPI
Brandon Sang Joon Kang, MD
- Vascular & Interventional Radiology Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 054764
- Practice address
- 3620 Howell Ferry Rd
Duluth, GA 30096-3178 - Phone
- (678) 312-2400
- Fax
- (678) 312-6999
- NPI assigned
- Mar 8, 2006
- Last updated
- Apr 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 054764 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 054764 | GA | Primary |
Addresses
Primary practice location
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Mailing address
PO Box 1746
Indianapolis, IN 46206-1746
Phone (877) 383-4442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00760856 | Other | GA | RR MEDICARE |
| 149575161 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 237-1428
2078 Teron Trce
Suite 200
Dacula, GA 30019-1606
Phone (678) 312-8600
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
3805 Pleasant Hill Rd
Duluth, GA 30096-4808
Phone (678) 312-7316
631 Professional Dr
Suite 250
Lawrenceville, GA 30046-3370
Phone (678) 312-0900
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
- Northside Hospital
- Northside Hospital Cherokee
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.01 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 68.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054764 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Diagnostic Radiology | Current | Accepting new patients |
| The Emory Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| North Metropolitan Radiology Associates, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Cascade Radiology Consultants, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
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.
-
- Diagnostic Radiology Physician
- Lawrenceville, GA
- NPI 1437137031
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Diagnostic Radiology Physician
- Austell, GA
- NPI 1114928207
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1871561803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1746",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061746",
"telephone_number": "877-383-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 HOWELL FERRY RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963178",
"telephone_number": "678-312-2400",
"fax_number": "678-312-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "BRANDON",
"middle_name": "SANG JOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "054764",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "054764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00760856",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149575161",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Gwinnett)
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente)
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Gwinnett Home Infusion Retail Pharmacy)
- Poonam Kalaria
- Emily Mimi Kang
- Hyung Gi Kang, D.C.
- Larry Kang, M.D.
- Rachel J Kang, BCBA
- Sungtaek Kang, L AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.