Active NPI
Brian George Miscall, MD
- Surgery Physician
- Albuquerque, NM
National Provider Identifier
1285854562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 77-223
- Practice address
- 6501 San Antonio Dr NE
#803
Albuquerque, NM 87109-4139 - Phone
- (505) 299-0836
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 77-223 | NM | Primary |
Addresses
Primary practice location
6501 San Antonio Dr NE
#803
Albuquerque, NM 87109-4139
Mailing address
8100 Wyoming Blvd NE
M-4 #285
Albuquerque, NM 87113-1963
Phone (505) 299-0836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77-223 | NM | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285854562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 WYOMING BLVD NE",
"address_2": "M-4 #285",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131963",
"telephone_number": "505-299-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 SAN ANTONIO DR NE",
"address_2": "#803",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094139",
"telephone_number": "505-299-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCALL",
"first_name": "BRIAN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "77-223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.