National Provider Identifier Database

PETER A HEADLEY, MD – NPI #1134394430
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

PETER A HEADLEY, MD
610 BROADWAY BLVD NE
ALBUQUERQUE, NM87102-2372
Phone: 505-242-3991
Fax: 505-243-8405
Website:
Specialty Taxonomy Code
* Urology 208800000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PETER A HEADLEY

NPI Number 1134394430
Credentials MD
Entity Individual
Enumeration date 04/28/2008
Last updated 04/21/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NM License #: MD2013-0794
  • NM Medicaid: 6305351
  • NM Other: MD2013-0794 MEDICAL LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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