Brighton Family Medicine | |
1720 W Horizon Ridge Pkwy Ste 140 Henderson NV 89012-4896 | |
(702) 566-5445 | |
(702) 566-5035 |
Full Name | Brighton Family Medicine |
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Speciality | Family Medicine |
Location | 1720 W Horizon Ridge Pkwy Ste 140, Henderson, Nevada |
Authorized Official Name and Position | Sungwook S Kim (PRESIDENT) |
Authorized Official Contact | 7025665445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brighton Family Medicine 1450 W Horizon Ridge Pkwy Ste B305 # 570 Henderson NV 89012-4480 Ph: (702) 566-5445 | Brighton Family Medicine 1720 W Horizon Ridge Pkwy Ste 140 Henderson NV 89012-4896 Ph: (702) 566-5445 |
NPI Number | 1134323561 |
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Provider Enumeration Date | 06/11/2007 |
Last Update Date | 05/02/2023 |
Medicare PECOS PAC ID | 2567556947 |
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Medicare Enrollment ID | O20070915000288 |
Identifier | Type | State | Issuer |
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1134323561 | NPI | - | NPPES |
Provider Name | Sungwook S Kim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871798900 PECOS PAC ID: 1850485152 Enrollment ID: I20070918000177 |
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