Bradley P. Pickett, M.D.
Individual provider Active NPI Otology & Neurotology Physician · Albuquerque, NM
NPI 1487733192 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1487733192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otology & Neurotology Physician 207YX0901X
- License
- 97-341 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2745 - Phone
- (505) 272-8950
- Fax
- (505) 272-3202
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Geisel School of Medicine at Dartmouth, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unm Medical Group Inc
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 272-1570
Hospital & facility affiliations
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000653 | NM | Practitioner - Otolaryngology | 1052352705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-34 | NM | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients | |
| University Physician Associates | Past | Accepting new patients | |
| Mountain Peace LLC | Past | Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients | |
| Southwestern Colorado Ear Nose and Throat | Otolaryngology | Past |
Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFBEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 97-34 | NM | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 97-34 | NM | |
| Otology & Neurotology Physician | 207YX0901X | 97-341 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2745
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384941 | Medicaid | AZ | |
| Q2517 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | SRMC@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Bobbie Pickard
- Cassandra Pickard
- Jean Pickard
- Jessica Pickard
- Leia Pickel
- Katharine Pickett
- Rebecca Pickle
- Piece by Piece Counseling LLC
- Melissa Pielech
- Jedidiah Pieniadz
All providers in Albuquerque, NM · Otology & Neurotology Physician 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 Oct 9, 2024. 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.