Brian Y. Kim, D.O., P.a.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

0050722 Issued in MD

Legal business name

BRIAN Y. KIM, D.O., P.A.

Practice address

13217 Executive Park Ter
Germantown, MD 20874-2647

Phone

(301) 916-2600

Fax

(301) 916-9343

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Y. Kim, D.O.

Title

President

Phone

(301) 916-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Lee Simmons, PT

  • Physical Therapist
  • Finksburg, MD
  • NPI 1841352325
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982801726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742647",
            "telephone_number": "301-916-2600",
            "fax_number": "301-916-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742647",
            "telephone_number": "301-916-2600",
            "fax_number": "301-916-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN Y. KIM, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-916-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MD",
            "license": "0050722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bradshaw, PTA
• Kia Braithwaite
• Patricia Braun, LCSW-C
• Jared D Braverman, ATC
• Brian P Krandell DDS PA
• Bridges to Wellness Centre LLC
• Brighter Days TMS, LLC
• Brightpath One
• Michelle Briner
• Ida H. Britton

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.