Bryan Lance Hurt, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

681 Issued in NM

Practice address

3405 Pan American Fwy NE
Albuquerque, NM 87107-4786

Phone

(505) 222-0324

Fax

(505) 222-0301

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NM Department of Health

  dba Sequoyah Adolescent Treatment Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1407990500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1013241140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0324",
            "fax_number": "505-222-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0324",
            "fax_number": "505-222-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "BRYAN",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hurford, R.D.N
• Carrie Marie Hurley
• Timothy J Hurley, M.D.
• Margaret Diane Hursh, D.O.M.
• Natalie J Hurst, MS, CCC-SLP
• Hans Fredrick Hurt, M.D.
• Kenneth C Hurt, D.D.S., M.S.
• Vanessa Alexandra Hurtado Tandazo, M.D
• Alissa Renee Hurtado, PA-C
• Gabriel Hurtado

• Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.