DR. ALAN STEVEN BRENNER M.D. NPI 1063565075

NPI Information

  • NPI: 1063565075
  • Provider Name: DR. ALAN STEVEN BRENNER, M.D.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • 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

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NPI Details

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD00016472WASHINGTONNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery8123SOUTH DAKOTANo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD2012-0882NEW MEXICOYes
4207YS0123XOtolaryngologyFacial Plastic SurgeryMD2012-0882NEW MEXICOYes
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD00016472WASHINGTONNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery8123SOUTH DAKOTANo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD2012-0882NEW MEXICOYes
4207YS0123XOtolaryngologyFacial Plastic SurgeryMD2012-0882NEW MEXICOYes

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
10100601MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
21158609MEDICAIDWASHINGTON
3G000100601OTHERWASHINGTONMEDICARE
4A04135MEDICARE UPINWASHINGTON
58123MEDICARE PINSOUTH DAKOTA
66301580MEDICAIDSOUTH DAKOTA
10100601MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
21158609MEDICAIDWASHINGTON
3G000100601OTHERWASHINGTONMEDICARE
4A04135MEDICARE UPINWASHINGTON
58123MEDICARE PINSOUTH DAKOTA
66301580MEDICAIDSOUTH 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: 11/21/2025

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