Individual provider Active NPI

Brenda Pereda

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1255519435
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2011-0600 Issued in NM
Practice address
2211 Lomas Blvd NE
4TH Floor Ambulatory Care Ctr
Albuquerque, NM 87106-2719
Phone
(505) 272-2245
Fax
(505) 272-1109
NPI assigned
Feb 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301090675 MI
Obstetrics & Gynecology Physician 207V00000X 2011-0600 NM Primary

Addresses

Primary practice location

2211 Lomas Blvd NE
4TH Floor Ambulatory Care Ctr
Albuquerque, NM 87106-2719

Mailing address

933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404001024 NM Practitioner - Obstetrics/Gynecology 2264692953 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301090675MIMDObstetrics & Gynecology Physician
2011-0600NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Physician Practices LLC Family Medicine CurrentSince Oct 15, 2020 Accepting new patients
Unm Medical Group Inc CurrentSince Jan 23, 2012 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jan 15, 2023 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jan 23, 2012 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Oct 15, 2020 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2559 Medical Dr
Ste 2100
Alamogordo, NM 88310
Phone (575) 446-5358

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2421 W 21st St
Ste A
Clovis, NM 88101
Phone (575) 742-7800

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

3917 West Rd
Ste 137
Los Alamos, NM 87544
Phone (505) 661-8500

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: brenda.pereda.1@6965.direct.athenahealth.com
  • Direct secure messaging: bpereda77513@direct.phs.org
  • Direct secure messaging: qem6762@yourcarecommunity.org
  • Direct secure messaging: bpereda707458@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1255519435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "address_2": "SUITE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374",
            "telephone_number": "505-272-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "address_2": "4TH FLOOR AMBULATORY CARE CTR",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062719",
            "telephone_number": "505-272-2245",
            "fax_number": "505-272-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-10",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301090675",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "2011-0600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.