DR. ALAN STEVEN BRENNER (NPI# 1063565075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063565075 |
Entity Type | Individual |
Full Name | DR. ALAN STEVEN BRENNER |
Credential | M.D. |
Practice Address |
201 Cedar St Se Suite 4600 Albuquerque NM 87106-4917 |
Practice Telephone | 5055636450 |
Practice Fax Number | 5055636484 |
Mailing Telephone | 5055636450 |
Mailing Fax Number | 5055636484 |
Enumeration Date | 2007-01-21 |
Last Update Date | 2013-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD2012-0882 | NM | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD2012-0882 | NM | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
8123 | SD | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD00016472 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 6301580 | 05 | |
WA | MEDICARE | G000100601 | 01 |
WA | 1158609 | 05 |
Street Address |
201 CEDAR ST SE SUITE 4600 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87106-4917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053315390 | Robert E. Federici | Internal Medicine | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2005-06-01 |
1184269581 | Felicia Strange | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2019-11-10 |
1033699731 | Jessica Frances Brisson | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2018-08-21 |
1043759756 | Diana Lynn Gabaldon | Pharmacist | 201 Cedar St Se, Suite 4620, Albuquerque, NM 87106-4917 | 2017-02-14 |
1891233045 | Presbyterian Healthcare Services | General Acute Care Hospital | 201 Cedar St Se, Suite 4602, Albuquerque, NM 87106-4917 | 2017-02-08 |
1366993024 | Anne Karlovitz | Nurse Practitioner | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2016-10-18 |
1346691649 | Cara J Garner | Dietitian, Registered | 201 Cedar St Se, Suite 4660, Albuquerque, NM 87106-4917 | 2016-06-28 |
1922479914 | Michelle Maxedon | Genetic Counselor, MS | 201 Cedar St Se, Suite 405, Albuquerque, NM 87106-4917 | 2015-10-15 |
1366827537 | Sarah Streng | Occupational Therapist | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2015-07-29 |
1306228283 | Cristina Ferraro | Physician Assistant | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2015-06-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
Find all providers in zip 87106 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760515589 | New Mexico Facial Plastics PC | Otolaryngology | 6200 Uptwon Blvd, Suite 419, Albuquerque, NM 87110-4159 | 2007-03-13 |
1841329216 | Karl Joseph Eisbach | Otolaryngology | 7800 Constitution Ave Ne, Albuquerque, NM 87110-7552 | 2007-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619183597 | Ravi Gorav Md Pa | Otolaryngology | 2540 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2007-05-15 |
City | ALBUQUERQUE |
Zip Code | 87106 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.