Brett R Henderson (NPI# 1598818189, PAC ID# 1456349273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
Nation Provider ID (NPI) | 1598818189 |
PAC ID by PECOS | 1456349273 |
Professional Enrollment ID | I20040503000155 |
Full Name | Brett R Henderson |
Organization Legal Name | SOUTHERN NEW MEXICO NEUROSURGERY LLC |
Address |
3850 E Lohman Ave Suite C Las Cruces NM 88011-8288 |
Phone Number | 5755221974 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1994 |
Primary Specialty | NEUROSURGERY |
Secondary Specialties | GENERAL SURGERY |
Group Practice PAC ID | 3476636036 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
320018 | MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 | 5755221974 | SOUTHERN NEW MEXICO NEUROSURGERY LLC |
Organization Legal Name | SOUTHERN NEW MEXICO NEUROSURGERY LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill M Freemyer | Nurse Practitioner | Southern New Mexico Neurosurgery LLC | 3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 |
Street Address |
3850 E LOHMAN AVE SUITE C |
City | LAS CRUCES |
State | NM |
Zip | 88011-8288 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Eric E Dizon | Physical Therapy | Millennium Chiropractic PC | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8288 |
Khalid Y Khan | Thoracic Surgery | 3850 E Lohman Ave, Suite 300, Las Cruces, NM 88011-8294 | |
Monty Barry | Physical Therapy | Millennium Chiropractic PC | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8288 |
Brian R Hesser | Nurse Practitioner | Millennium Chiropractic PC | 3850 E Lohman Ave, Las Cruces, NM 88011-8288 |
Jill M Freemyer | Nurse Practitioner | Southern New Mexico Neurosurgery LLC | 3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 |
Greg S Noel | Physical Therapy | Millennium Chiropractic PC | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8288 |
Mark R Mudd | Chiropractic | Millennium Chiropractic PC | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8288 |
David M Jones | Chiropractic | Millennium Chiropractic PC | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8288 |
Bradley M Shepherd | Chiropractic | Millennium Chiropractic PC | 3850 E Lohman Ave, Las Cruces, NM 88011-8288 |
Name | Specialty | Organization | Address |
---|---|---|---|
Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
Find all physicians in zip 88011 |
City | LAS CRUCES |
Zip Code | 88011 |
Specialty | NEUROSURGERY |
City + Specialty | LAS CRUCES + NEUROSURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.