Dr. Alan Steven Brenner
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
201 Cedar St Se Suite 4600
Albuquerque
, New Mexico 87106-4917
Dr. Alan Steven Brenner
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
201 Cedar St Se Suite 4600
Albuquerque
, New Mexico 87106-4917
(505) 563-6484
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About
Features
Specialties
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Alan Steven Brenner
- 201 Cedar St Se Suite 4600
- Albuquerque, NM
- Zip : 87106-4917
- Fax : (505) 563-6484
- Phone : (505) 563-6450
Second Address
- Dr. Alan Steven Brenner
- 201 Cedar St Se Suite 4600
- Albuquerque, NM
- Zip : 87106-4917
- Fax : (505) 563-6484
- Phone : (505) 563-6450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | MD2012-0882 | NM |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 8123 | SD |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00016472 | WA |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD2012-0882 | NM |
National Provider Identifier
| NPI | 1063565075 |
|---|---|
| Provider Name | Dr. Alan Steven Brenner |
| First Address | Albuquerque, NM 87106-4917 |
| Second Address | Albuquerque, NM 87106-4917 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2007 |
| Last Update Date | 13/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1158609 | (05) | WA |
| 6301580 | (05) | SD |
| A04135 | (02) | WA |
| G000100601 | MEDICARE (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.