DR. ALAN STEVEN BRENNER M.D. NPI 1063565075

NPI Information

NPI: 1063565075
Provider Name: DR. ALAN STEVEN BRENNER, M.D.
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
201 CEDAR ST SE
SUITE 4600
ALBUQUERQUE, NM
ZIP 87106
201 CEDAR ST SE
SUITE 4600
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 563-6450
Get Directions

DR. Alan Steven Brenner, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Albuquerque, NM. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Alan Steven Brenner, M.D. NPI is 1063565075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 CEDAR ST SE
SUITE 4600
ALBUQUERQUE, NM
ZIP 87106-917
Phone: (505) 563-6450
Fax: (505) 563-6484

The NPI 1063565075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/21/2007 and was last updated on 5/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	MD00016472	WASHINGTON	No
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	8123	SOUTH DAKOTA	No
3	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	MD2012-0882	NEW MEXICO	Yes
4	207YS0123X	Otolaryngology	Facial Plastic Surgery	MD2012-0882	NEW MEXICO	Yes
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	MD00016472	WASHINGTON	No
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	8123	SOUTH DAKOTA	No
3	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	MD2012-0882	NEW MEXICO	Yes
4	207YS0123X	Otolaryngology	Facial Plastic Surgery	MD2012-0882	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0100601	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	1158609	MEDICAID	WASHINGTON
3	G000100601	OTHER	WASHINGTON	MEDICARE
4	A04135	MEDICARE UPIN	WASHINGTON
5	8123	MEDICARE PIN	SOUTH DAKOTA
6	6301580	MEDICAID	SOUTH DAKOTA
1	0100601	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	1158609	MEDICAID	WASHINGTON
3	G000100601	OTHER	WASHINGTON	MEDICARE
4	A04135	MEDICARE UPIN	WASHINGTON
5	8123	MEDICARE PIN	SOUTH DAKOTA
6	6301580	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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