| New Mexico Brain Institute, Inc. | |
|
108 Cottonwood Dr Alamogordo NM 88310-8219 | |
| (575) 434-0901 | |
| (575) 437-1992 |
| Full Name | New Mexico Brain Institute, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 108 Cottonwood Dr, Alamogordo, New Mexico |
| Authorized Official Name and Position | John Paul Simmons (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 5054340901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Brain Institute, Inc. 108 Cottonwood Dr Alamogordo NM 88310-8219 Ph: (575) 434-0901 | New Mexico Brain Institute, Inc. 108 Cottonwood Dr Alamogordo NM 88310-8219 Ph: (575) 434-0901 |
| NPI Number | 1215920426 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215920426 | NPI | - | NPPES |
| 900521021 | Other | NM | MEDICARE GROUP PTAN |
| CH6196 | Other | NM | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Secondary |
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