KRISTOPHER BRANDON-PAUL LATOUR MD
NPI 1548964778
Student in an Organized Health Care Education/Training Program in Monroe, NC

Q: What is Kristopher Latour's NPI number?

The NPI number for Kristopher Latour is 1548964778. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Kristopher Latour'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 Kristopher Latour was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2023PECOS Enrolled

1106 REYNOLDS ST, MONROE, NC 28112(704) 667-9772(704) 667-9798 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristopher Brandon-paul Latour Md NPPES

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

KRISTOPHER BRANDON-PAUL LATOUR MD (NPI 1548964778) is an individual student in an organized health care education/training program in Monroe, North Carolina and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2023).

NPPES Registry Identity

NPI1548964778

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKRISTOPHER BRANDON-PAUL LATOURCredential: MD

Location Address1106 REYNOLDS STMonroe, NC 28112-4375

Mailing Address1441 N 12th St Fl 2Phoenix, AZ 85006-2837 · (602) 521-5969 · Fax (602) 521-5987

Phone(704) 667-9772

Fax(704) 667-9798

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2023

Enumeration DateMarch 30, 2023

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1548964778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1106 REYNOLDS ST, Monroe, NC 28112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristopher Brandon-paul Latour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769918580

PECOS Enrollment IDI20260518002075

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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