Michael D Brennand, PA-C
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1013905140 · NPPES record last updated Dec 1, 2023
Key facts
- NPI
- 1013905140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2006-0047
- Practice address
- 1101 Central SE
PMG Emergency Medicine
Albuquerque, NM 87106 - Phone
- (505) 841-1125
- Fax
- (505) 841-1737
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
4515 Coors Blvd NW
Albuquerque, NM 87120-3699
Phone (505) 596-2200
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070326000516 | NM | Practitioner - Physician Assistant | 9931203221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Emergency Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Past | Accepting new patients |
| Goldsboro Emergency Medical Specialists, Inc. | Emergency Medicine | Past |
Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777
8100 Constitution Pl NE
Ste 400
Albuquerque, NM 87110
Phone (505) 559-1122
2400 Unser Blvd SE
Fl 1
Rio Rancho, NM 87124
Phone (505) 559-6100
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- mbrennand30308@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2006-0047 | Yes |
Addresses
Primary practice location
1101 Central SE
PMG Emergency Medicine
Albuquerque, NM 87106
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92534279 | Medicaid | NM |
Other providers in Albuquerque, NM
- Maureen Brennan
- Paula J Brennan
- Sarah Kathleen Brennan
- Tara Eileen Brennan
- Whitney Leigh Brennan
- Alan Steven Brenner
- Cynthia L Brenner
- Joanna Marie Brenner
- Lindsay Brenner
- Mara Brenner
All providers in Albuquerque, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.