DR. STEPHEN BRENT CARROLL (NPI# 1669532008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669532008 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN BRENT CARROLL |
| Credential | M.D. |
| Practice Address |
4411 The 25 Way Ne Suite 150 Albuquerque NM 87109-5857 |
| Practice Telephone | 5053326919 |
| Practice Fax Number | 5053326921 |
| Mailing Telephone | 5053326919 |
| Mailing Fax Number | 5053326921 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD2013-0668 | NM | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
A83492 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.134086 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 42482780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124369053 | Stephen Paul Carroll | Social Worker | 4089 Fairmount Ave, San Diego, CA 92105-1607 | 2013-03-01 |
| 1578639142 | Stephen M Carroll | Social Worker | 6 Kings Hwy East, Haddonfield, NJ 08033 | 2006-11-27 |
| 1710239389 | Stephen Thomas Carroll | Counselor | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2012-10-08 |
| 1649418294 | Stephen Mark Carroll | Emergency Medicine | 80 Jesse Hill Jr Dr Se, Department of Emergency Medicine, Atlanta, GA 30303-3031 | 2009-02-04 |
| Street Address |
4411 THE 25 WAY NE SUITE 150 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395610 | Jack A Brock | Radiology | 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 | 2005-06-09 |
| 1063048957 | Shannon G Starr | Social Worker | 4411 The 25 Way Ne, Albuquerque, NM 87109-5857 | 2020-03-23 |
| 1720310659 | Advanced Imaging LLC | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2010-02-03 |
| 1649413584 | Charles Edward Lohr IIi | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2009-04-08 |
| 1821240201 | Lovelace Health System, Inc. | Psychologist | 4411 The 25 Way Ne, Ste. 100, Albuquerque, NM 87109-5857 | 2008-10-16 |
| 1639375397 | Christopher Nathaniel Roybal | Ophthalmology | 4411 The 25 Way Ne, Suite 325, Albuquerque, NM 87109-5857 | 2007-06-21 |
| 1184828832 | Kathleen Marie Lopez | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2007-06-14 |
| 1922127158 | Radiology Associates of Albuquerque | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2007-03-28 |
| 1558416974 | Advanced Imaging LLC | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2007-01-24 |
| 1114936218 | Catherine M Shannon | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114940228 | Lance Dell | Radiology | 9504 Riverdale Ln Nw, Albuquerque, NM 87114-5965 | 2006-07-26 |
| 1932465010 | Robert Anthony Blakely | Radiology | 1 University of New Mexico, Msc 09-5030, Albuquerque, NM 87131 | 2012-04-03 |
| 1114248283 | Marc Christopher Mabray | Radiology | 1 University of New Mexico, Msc 10 5530 Department of Radiology, Albuquerque, NM 87106 | 2010-06-11 |
| 1952626079 | Eric Munoz | Radiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2010-03-31 |
| 1023263704 | Danielle Eckart Sorte | Radiology | Dept of Radiology Msc 10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-11-24 |
| 1699780155 | Frederick W. Rupp Jr. | Radiology | 2211 Lomas Blvd. Ne, Unm Hospital, Albuquerque, NM 87131 | 2006-07-30 |
| 1265455505 | Jesse Rael | Radiology | 4901 Lang Ave Ne, Albuquerque, NM 87109 | 2006-07-26 |
| 1760477970 | John C Collingwood | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588684831 | Jd Griste | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-20 |
| 1669431367 | Enrique M Bursztyn | Radiology | 301 E Miel De Luna Ave, Tucumcari, NM 88401-3810 | 2006-03-21 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. STEPHEN BRENT CARROLL.
| 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.