NPIMap

Organization Active NPI

New Mexico Brain Institute, Inc.

  • Neurology Physician
  • Alamogordo, NM
National Provider Identifier
1215920426
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEW MEXICO BRAIN INSTITUTE, INC.
Practice address
108 Cottonwood Dr
Alamogordo, NM 88310-8219
Phone
(575) 434-0901
Fax
(575) 437-1992
NPI assigned
Aug 24, 2005
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
John Paul Simmons, MDNPI 1841285962
Title
President/Physician
Phone
(505) 434-0901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X NU

Addresses

Primary practice location

108 Cottonwood Dr
Alamogordo, NM 88310-8219

Mailing address

108 Cottonwood Dr
Alamogordo, NM 88310-8219
Phone (575) 434-0901

Other identifiers 2

IdentifierTypeStateIssuer
900521021OtherNMMEDICARE GROUP PTAN
CH6196OtherNMRR MEDICARE

National Provider Directory

National Provider Directory

Locations

108 Cottonwood Dr
Alamogordo, NM 88310
Phone (505) 434-0901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1215920426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COTTONWOOD DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108219",
            "telephone_number": "575-434-0901",
            "fax_number": "575-437-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COTTONWOOD DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108219",
            "telephone_number": "575-434-0901",
            "fax_number": "575-437-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO BRAIN INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "505-434-0901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "900521021",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH6196",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.