MR. BRIAN L. COSTELLO


Address: 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437
Phone: 5058724700

MR. BRIAN L. COSTELLO (NPI# 1154306454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154306454
Entity Type Individual
Full Name MR. BRIAN L. COSTELLO
Credential PA-C
Practice Address 5310 Homestead Rd Ne
Suite 301
Albuquerque
NM 87110-1437
Practice Telephone 5058724700
Practice Fax Number 5058724709
Mailing Telephone 5058724700
Mailing Fax Number 5058724709
Enumeration Date 2005-12-08
Last Update Date 2016-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRIAN COSTELLO

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1962829416 Brian Michael Costello Counselor 5182 East Pkwy, Hamburg, NY 14075-5748 2014-03-22
1477982064 Brian Costello Durable Medical Equipment & Medical Supplies 4916 N Crescent Ave, Norridge, IL 60706-3108 2013-11-05
1437352911 Brian Joseph Costello Internal Medicine 3080 Hamilton Blvd, Suite 350, Allentown, PA 18103-3694 2007-06-11
1821144163 Brian Eoin Costello Pediatrics 1645 Tullie Cir Ne, Division of Pediatric Emergency Medicine, Atlanta, GA 30329-2304 2007-01-27
1396833257 Brian John Costello Physician Assistant 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 2006-10-10
1932179181 Brian A Costello Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2006-01-23

Office Location

Street Address 5310 HOMESTEAD RD NE
SUITE 301
City ALBUQUERQUE
State NM
Zip Code 87110-1437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194710442 Sky B Connolly Dermatology 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 2005-09-13
1518403492 Pamela O Moore Counselor 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 2017-01-16
1184096190 Gary Lee Joseph Giron Counselor 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 2015-10-29
1821467374 Erica A Montoya Counselor 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 2015-09-15
1306238324 Tree of Life Massage and Wellness LLC Massage Therapist 5310 Homestead Rd Ne, Suite 202a, Albuquerque, NM 87110-1437 2015-02-27
1376739052 Teri M Rolan Pharmacist 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 2007-09-17
1740485275 Suraj Gopal Reddy Dermatology 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 2007-06-15
1316079973 Carol Lynn Hunter Nurse Practitioner 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 2007-03-09
1639218639 Shilpa Gopal Reddy Specialist 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 2007-02-06
1790886240 Robert Campbell Jones Chiropractor 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 2006-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215550199 Sabrina Jennifer Lujan Counselor 8401 Constitution Ave Nw, Albuquerque, NM 87110 2020-05-26
1649829318 Robert D. Oliver Technician 2705 Texas Street Ne, Albuquerque, NM 87110 2019-09-05
1033770904 Life Re-created LLC Counselor 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 2019-06-21
1497319693 Clear Choice Vision Care, LLC Optometrist 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 2019-04-24
1790257558 Diana M Nicolas Dietitian, Registered 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 2018-12-18
1689168403 Robin N Hermes, Md, PC Anesthesiology 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 2018-06-15
1710481726 Desert Mountain Eyecare LLC Optometrist 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 2018-03-23
1659873131 Amanda Lacasse Registered Nurse 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 2018-03-01
1518485655 Danielle Liegh Wyne Counselor 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 2017-09-08
1265957237 Myrrhine Faller Speech-Language Pathologist 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 2017-08-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1306225180 Allison Rose Crossey Physician Assistant 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 2015-05-26
1336543115 Pamela O Black Md, P.a., Dba Quadra Health Institute Physician Assistant 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 2014-10-22
1457686511 Bayle R. Curtis Physician Assistant 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 2009-10-07
1215173919 Amber Dawn Hansen Physician Assistant 1100 Cenrral Ave Se, Albuquerque, NM 87106 2008-12-30
1508028606 Angela Genette Baumeister Physician Assistant 707 13th St Nw, Albuquerque, NM 87102-1841 2008-06-30
1528230117 Laura Wylie Physician Assistant 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 2008-03-24
1457406951 Deneen Tomayko Physician Assistant 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 2007-01-24
1083793665 Karen Kay Nester Physician Assistant 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 2006-11-03
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Competitor

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City ALBUQUERQUE
Zip Code 87110

Improve Information

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Dataset Information

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.

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