BRIGHTON FAMILY MEDICINE
NPI 1134323561
Family Medicine in Henderson, NV

Active since June 11, 2007CLIA 29D1073174 · Waiver
1720 W HORIZON RIDGE PKWY STE 140, HENDERSON, NV 89012(702) 566-5445(702) 566-5035 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2023, Oct 24, 2018 (2 updates tracked since 2018).

About Brighton Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTON FAMILY MEDICINE (NPI 1134323561) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Sungwook S Kim, President, as its authorized official.

NPPES Registry Identity

NPI1134323561
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameS AND S KIM GROUP PC
Location Address1720 W HORIZON RIDGE PKWY STE 140Henderson, NV 89012-4896
Mailing Address1450 W Horizon Ridge Pkwy Ste B305 # 570Henderson, NV 89012-4480 · (702) 566-5445 · Fax (702) 448-7221
Fax(702) 566-5035
Organization SubpartNo
Authorized OfficialSungwook S KimPresident · (702) 566-5445
Enumeration DateJune 11, 2007
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1134323561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1720 W HORIZON RIDGE PKWY STE 140, Henderson, NV 89012

Other Names 1

Doing Business AsBrighton Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brighton Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20070915000288Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brighton Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1871798900
1720 W HORIZON RIDGE PKWY STE 140
Henderson, NV 89012
(702) 566-5445
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1073174

Brighton Family Medicine · Henderson, NV
Active · expires Sep 3, 2027
CLIA Number29D1073174
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorSungwook S. Kim
Laboratory Phone(702) 566-5445
Laboratory LocationBrighton Family Medicine1720 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S And S Kim Group PC's NPI number?

The NPI number for S And S Kim Group PC is 1134323561. It was assigned to this organization in the NPPES registry on June 11, 2007. The provider is doing business as Brighton Family Medicine.

Where is S And S Kim Group PC located?

S And S Kim Group PC is located at 1720 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89012. The listed phone number is (702) 566-5445.

What is S And S Kim Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is S And S Kim Group PC enrolled in Medicare?

Yes. S And S Kim Group PC is registered in the Medicare PECOS enrollment system.

When is S And S Kim Group PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through S And S Kim Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to S And S Kim Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does S And S Kim Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D1073174) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does S And S Kim Group PC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list S And S Kim Group PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for S And S Kim Group PC was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.