DR. BRIAN LEE HOLT (NPI# 1043496300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043496300 |
| Entity Type | Individual |
| Full Name | DR. BRIAN LEE HOLT |
| Credential | M.D. |
| Practice Address |
715 Martin Luther King Ave Ne Suite 301 Albuquerque NM 87102-3661 |
| Mailing Address |
5400 Gibson Blvd Se Albuquerque NM 87108-4729 |
| Practice Telephone | 5052627281 |
| Practice Fax Number | 5052627622 |
| Mailing Telephone | 5052627960 |
| Mailing Fax Number | 5052321368 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2015-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2014-0842 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465572 | Brian Holt | Social Worker | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2017-02-06 |
| 1811241573 | Brian W Holt | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2012-11-02 |
| 1255666871 | Brian David Holt | Registered Nurse | 121 W 2nd Ave, Latrobe, PA 15650-1068 | 2009-10-15 |
| 1275665259 | Brian Ray Holt | Psychiatry & Neurology | 1000 Veteran Ave, Ucla Ties for Adoption, Los Angeles, CA 90095-0001 | 2007-03-12 |
| 1033258413 | Brian Patrick Holt | Chiropractor | 300 N Middletown Rd, Pearl River, NY 10965-1262 | 2007-02-05 |
| 1629180823 | Brian Holt | Emergency Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2006-08-31 |
| 1790709087 | Brian R Holt | Dentist | 1100 John Harden Dr, Jacksonville, AR 72076-3161 | 2006-07-27 |
| Street Address |
715 MARTIN LUTHER KING AVE NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284082 | Luis Constantin | Internal Medicine | 715 Martin Luther King Ave Ne, Suite 210, Albuquerque, NM 87102-3661 | 2005-06-01 |
| 1942223128 | Aric Matthew Coffman | Surgery | 715 Martin Luther King Ave Ne, Albuquerque, NM 87102-3661 | 2006-07-26 |
| 1750316857 | Robert Weiler | Internal Medicine | 715 Martin Luther King Ave Ne, Ste 102, Albuquerque, NM 87102-3661 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871989228 | Jaideep Dasgupta | Surgery | Unm School of Medicine Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-13 |
| 1134476120 | John Garrett Cope | Surgery | 5304 Cortaderia Pl Ne, Albuquerque, NM 87111-8058 | 2012-08-08 |
| 1639469174 | David Hoang | Surgery | 715 Dr Martin Luther King Jr Ave Ne Ste 301, Albuquerque, NM 87102-3668 | 2011-04-18 |
| 1063701951 | Nathan Ray Blecker | Surgery | Msc11 6093, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-03-31 |
| 1750687786 | Mohammad Mussadiq Khan | Surgery | 4245 Altura Mesa Ln Ne, Albuquerque, NM 87110-5058 | 2011-02-09 |
| 1710202619 | Sarah Ann Moore | Surgery | Unm Hospital 2011 Lomas Blvd Ne, Albuquerque, NM 87131 | 2010-04-02 |
| 1548491079 | Livingston Parsons, Jr. Jr. | Surgery | 4208 Aspen, N.e., Albuquerque, NM 87110 | 2009-07-31 |
| 1508096413 | Michelino Scarlata | Surgery | 10511 Golf Course Rd Nw Ste 103, Albuquerque, NM 87114 | 2009-07-27 |
| 1629210869 | Edward D Auyang | Surgery | Unm Surgical Specialties Clinic 2211 Lomas Blvd Ne, 2nd Floor, Albuquerque, NM 87131-0001 | 2009-04-02 |
| 1669632683 | Hussein A Kassam | Surgery | Unm Dept of Internal Medicine, Msc10 5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2008-06-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.