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Contact Information

NEW MEXICO BRAIN INSTITUTE, INC.
108 COTTONWOOD DR
ALAMOGORDO, NM88310-8219
 Phone: 575-434-0901
 Fax: 575-437-1992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NEW MEXICO BRAIN INSTITUTE, INC.

NPI Number 1215920426
LBN Legal business name NEW MEXICO BRAIN INSTITUTE, INC.
Authorized official JOHN SIMMONS - (PRESIDENT/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2005
Last updated 10/26/2016 - About 10 years ago
Identifiers
NM Other 900521021 MEDICARE GROUP PTAN
NM Other CH6196 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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