MEDICARE: CARSON THOMAS KIRKPATRICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	329660	NY

General Provider Information

NPI Number	:	1073141511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARSON THOMAS KIRKPATRICK MD

Provider Business Mailing Address
First Line	:	12 PERRY ST APT 4D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2760
Country	:	US
Telephone Number	:	713-825-6334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 BAINBRIDGE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-1402
Country	:	US
Telephone Number	:	866-633-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	10/08/2024

Similar Medicare Providers

1801080536 — MMC DERMATOLOGY AT 3514
Practice Location Address:

MMC DERMATOLOGY AT 3514 , 3514 BAINBRIDGE AVENUE
BRONX, NY
10467-1402

Practice Phone: 914-377-4722
Practice Fax:

1659566842 — MMC DERMATOLOGY AT 3514
Practice Location Address:

MMC DERMATOLOGY AT 3514 , 3514 BAINBRIDGE AVENUE
BRONX, NY
10467-1402

Practice Phone: 914-377-4722
Practice Fax:

1477829034 — MISS LISA L MARSHALL FNP
Practice Location Address:

3514 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-920-2680
Practice Fax:

1215283452 — BAINBRIDGE ADULT DAY CARE CENTER II, LLC
Practice Location Address:

3518 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-655-1700
Practice Fax:

1730538596 — DR. BENEDICT CHANG WU D.O./PHD.
Practice Location Address:

3514 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-920-8493
Practice Fax:

1609611516 — HARRY SMITH JEANTY
Practice Location Address:

3518 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-655-1991
Practice Fax:

Directions to “ CARSON THOMAS KIRKPATRICK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.