DR. MARY ELIZABETH BRENNAN (NPI# 1952468670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952468670 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH BRENNAN |
| Credential | M.D. |
| Practice Address |
2121 Juan Tabo Blvd Ne Albuquerque NM 87112 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 5052378800 |
| Practice Fax Number | 5052378801 |
| Mailing Telephone | 5052627963 |
| Mailing Fax Number | 5052321627 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 94-199 | NM | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 94-199 | NM | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 94-199 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | J2527 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4701 Montgomery Blvd Ne, Albuquerque, NM 871091219 | 5057278360 | 5057278768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730334095 | Mary Ann Brennan | Physical Therapy Assistant | 2264 Woodview Dr, Apt # 386, Ypsilanti, MI 48198-6839 | 2008-11-28 |
| 1316149537 | Mary Brennan | Physical Therapist | 56 Harborview Dr, Hancock, ME 04640 | 2007-06-01 |
| 1205902244 | Mary T Brennan | Speech-Language Pathologist | 5577 Vanbarr Place, Suite 7, Freeland, WA 98249 | 2006-11-28 |
| 1780789768 | Mary Susan Brennan | Chiropractor | 555 Tachevah Drive, 1 West #204, Palm Springs, CA 92262 | 2006-09-14 |
| 1861485872 | Mary E Brennan | Registered Nurse | 1405 Delaware St, Longview, WA 98632-2326 | 2005-08-24 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1457868929 | Mary S Brennan | Speech-Language Pathologist | 1330 E Arlington Blvd Ste A, Greenville, NC 27858-7850 | 2018-01-05 |
| 1134570831 | Mary Brennan | Speech-Language Pathologist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-06-24 |
| 1033565668 | Mary Brennan | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-05-12 |
| 1356770432 | Mary Brennan | Psychologist | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 | 2013-11-08 |
| Street Address |
2121 JUAN TABO BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770689622 | Lovelace Healthcare Center-juan Tabo North | Internal Medicine | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-09-16 |
| 1619532066 | Sonya M Walsh | Nurse Practitioner | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2019-05-01 |
| 1396224390 | Matthew David Totter | Registered Nurse | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112 | 2018-08-09 |
| 1336533645 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2015-03-25 |
| 1487076220 | Juyung Kim | Nurse Practitioner | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2014-01-14 |
| 1508142688 | Jaime Vasquez Franco | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-11-02 |
| 1780967778 | Morgan Paige Foucar | Physician Assistant | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-09-26 |
| 1114116621 | Jeanette Danielle Lovato | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-10-20 |
| 1396945341 | Charles Allen Cummings | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-07-18 |
| 1174607212 | Lovelace Health Systems Inc | Pharmacy | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.