Brianna Michelle Koym, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15705 Issued in TX

Practice address

8525 9TH Ave
Port Arthur, TX 77642-8023

Phone

(409) 729-2262

Fax

(409) 729-2449

NPI assigned

Apr 18, 2022

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Corium Ventures PLLCGroup PAC ID 9234498304, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Corium Ventures PLLC

  dba Southeast Texas Dermatology

  • Dermatology Physician
  • Port Arthur, TX
  • NPI 1770098261
  Medicare reassignment Care Compare group
• Komal F Stoerr Mdpa

  dba Dermatology Specialists of Houston

  • Dermatology Physician
  • Bellaire, TX
  • NPI 1952447302

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1912640095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428023",
            "telephone_number": "409-729-2262",
            "fax_number": "409-729-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428023",
            "telephone_number": "409-729-2262",
            "fax_number": "409-729-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYM",
        "first_name": "BRIANNA",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Kolcun, MD
• Joseph S Kong, M.D.
• Srinivasa Rao Kothapalli, M.D.
• Brandy Kotz, FNP
• Francis Kotzur, M.D.
• Frank Andrew Krull, MD
• Gregory Thomas Kunz, DDS
• Stacy Kuykendall, AUD
• L & J Pharmacies Inc (King's Pharmacy)
• L&J Pharmacies Inc (Kings Pharmacy)

• Physician Assistant in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.

Verify at the official NPI Registry.