NEW MEXICO BRAIN INSTITUTE, INC. (NPI# 1215920426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215920426 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO BRAIN INSTITUTE, INC. |
| Practice Address |
108 Cottonwood Dr Alamogordo NM 88310-8219 |
| Practice Telephone | 5754340901 |
| Practice Fax Number | 5754371992 |
| Mailing Telephone | 5754340901 |
| Mailing Fax Number | 5754371992 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | JOHN PAUL SIMMONS (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 5054340901 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE GROUP PTAN | 900521021 | 01 |
| NM | RR MEDICARE | CH6196 | 01 |
| Street Address |
108 COTTONWOOD DR |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659597441 | Christine A. Hobson | Nurse Practitioner | 108 Cottonwood Dr, Alamogordo, NM 88310-8219 | 2007-04-18 |
| 1841285962 | John Paul Simmons | Psychiatry & Neurology | 108 Cottonwood Dr, Alamogordo, NM 88310-8219 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487636056 | Karen A Lecomte | Psychiatry & Neurology | 2539 Medical Dr Ste 106, Alamogordo, NM 88310 | 2005-11-18 |
| 1700211323 | Otero County Medical Group | Psychiatry & Neurology | 2474 Indian Wells Rd, Alamogordo, NM 88310-3845 | 2013-09-13 |
| 1235362195 | Neurocare Center PC | Psychiatry & Neurology | 923 9th St, Suite A, Alamogordo, NM 88310-6431 | 2009-08-26 |
| 1841285962 | John Paul Simmons | Psychiatry & Neurology | 108 Cottonwood Dr, Alamogordo, NM 88310-8219 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190882 | St Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr Ste 230, Santa Fe, NM 87505-7670 | 2019-12-04 |
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
| 1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
| 1578715272 | Paul Dolph Flaggman | Psychiatry & Neurology | 811 Vista Canada Ln, Santa Fe, NM 87501-8714 | 2008-10-14 |
| 1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
| 1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
| 1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
| 1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
| 1912039173 | Wendy Dimmette Md P C | Psychiatry & Neurology | 1235 8th St Ste 700, Las Vegas, NM 87701-4219 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.