Brian R Mumford, MD | |
4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | |
(505) 332-6900 | |
(505) 332-6921 |
Full Name | Brian R Mumford |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 4411 The 25 Way Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801812854 | NPI | - | NPPES |
1533118 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD2013-0778 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Specialists Of The Northwest Pc | 6204829963 | 26 |
Entity Name | Radiology Specialists Of The Northwest Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699759498 PECOS PAC ID: 6204829963 Enrollment ID: O20040407000754 |
Mailing Address | Practice Location Address |
---|---|
Brian R Mumford, MD 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 Ph: (505) 332-6900 | Brian R Mumford, MD 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 Ph: (505) 332-6900 |
Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Shaya Ansari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 |