BRAD H GREENBERG (NPI# 1801802517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801802517 |
| Entity Type | Individual |
| Full Name | BRAD H GREENBERG |
| Credential | MD |
| Practice Address |
801 W Maple St Farmington NM 87401-5630 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5053255011 |
| Practice Fax Number | 5056092259 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2004-0541 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 41981782 | 05 |
| Street Address |
801 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058510 | San Juan Regional Medical Center, Inc. | Ambulance | 801 W Maple St, Farmington, NM 87401-5630 | 2005-07-29 |
| 1962038729 | Alexia Hay | Physical Therapist | 801 W Maple St, Farmington, NM 87401-5630 | 2020-03-12 |
| 1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
| 1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
| 1083258768 | Stacey Mclendon | Pharmacist | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1730723560 | Anna Victoria Buck | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1083264592 | Clay Church | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-17 |
| 1982253449 | Christine Graves | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-08 |
| 1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
| 1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| 1801024088 | Jarrad Francis Maiers | Emergency Medicine | 801 West Maple Street, Farmington, NM 87401 | 2009-06-26 |
| 1215111398 | Patricia Ann Mcfadden | Emergency Medicine | 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 | 2007-12-24 |
| 1316960032 | Kimberly Dale Johnson | Emergency Medicine | 4820 East Main Street, Sjrmc Urgent Care, Farmington, NM 87402 | 2006-07-25 |
| 1770527376 | John Stephen Hunt | Emergency Medicine | 1101 E. Liberty St., Farmington, MO 63640 | 2006-06-15 |
| 1891759221 | Bruce E Harrison | Emergency Medicine | 204 Green Trail Dr, Farmington, MO 63640-9132 | 2006-04-13 |
| 1396719134 | Janet M Wilmes | Emergency Medicine | 4820 E Main St, Farmington, NM 87402-8660 | 2006-02-16 |
| 1588636823 | Kelly L Hartel | Emergency Medicine | 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-02-02 |
| 1851824262 | Joseph Anthony Kebisek | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2017-04-04 |
| 1427403195 | Alexander Charmoz | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-04-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on BRAD H GREENBERG.
| 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.