DR. BRIAN FELIPE JIMENEZ MD
NPI 1538747738
Student in an Organized Health Care Education/Training Program in Marietta, GA

Q: What is Brian Jimenez's NPI number?

The NPI number for Brian Jimenez is 1538747738. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Brian Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Jimenez was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2021PECOS Enrolled

677 CHURCH ST NE, MARIETTA, GA 30060(816) 529-8112 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Apr 5, 2021, Mar 30, 2021 (3 updates tracked since 2021).

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About Dr. Brian Felipe Jimenez Md NPPES

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

DR. BRIAN FELIPE JIMENEZ MD (NPI 1538747738) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1538747738

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BRIAN FELIPE JIMENEZCredential: MD

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059 · (816) 529-8112

Phone(816) 529-8112

Sole ProprietorNo

Enumeration DateMarch 30, 2021

Last NPPES UpdateApril 6, 20263 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1538747738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 1538747438 (GA)

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 1538747738 (GA)

677 CHURCH ST NE, Marietta, GA 30060

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Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (816) 529-8112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Felipe Jimenez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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