IndividualActive
Brian Baum
NPI 1265740534 · Licensed Practical Nurse · Camillus, NY
Provider details
- NPI number
- 1265740534
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 279811 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5 Kenmont Dr
Camillus, NY 13031-1511
Phone: (315) 751-4091
Street-level locationGet directions
Mailing address
5 Kenmont Dr
Camillus, NY 13031-1511
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2010-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.