NPIMap

Individual provider Active NPI

Mark Bryniarski, MD

  • Neurological Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1528063161
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
97-21 Issued in NM
Practice address
500 Walters St NE
Ste 401
Albuquerque, NM 87102-2563
Phone
(505) 727-5910
Fax
(505) 727-5939
NPI assigned
Jun 20, 2005
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 62063 AZ
Neurological Surgery Physician 207T00000X 97-21 NM Primary

Addresses

Primary practice location

500 Walters St NE
Ste 401
Albuquerque, NM 87102-2563

Mailing address

201 Cedar St SE
Ste 5630
Albuquerque, NM 87106-4920
Phone (505) 727-5910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316002530 NM Practitioner - Neurosurgery 6608818646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

500 Walter St NE
Suite 401
Albuquerque, NM 87102-2563
Phone (505) 727-5910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion21
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62063AZMDNeurological Surgery Physician
97-21NMMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Neurological Surgery CurrentSince Oct 12, 2021 Accepting new patients
Lovelace Health System, LLC CurrentSince Mar 1, 2016 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 12, 2021 Accepting new patients
Lovelace Health System LLC Current Accepting new patients
Lovelace Health System, LLC CurrentSince Mar 1, 2016 Accepting new patients
Healthone Clinic Services Neurosciences LLC Neurological Surgery Past Accepting new patients
Lovelace Health System LLC Past Accepting new patients

Locations

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

201 Cedar St SE
Ste 5630
Albuquerque, NM 87106
Phone (505) 563-6399

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

4801 McMahon Blvd NW
Ste 110
Albuquerque, NM 87114
Phone (505) 727-4500

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

6100 Pan American East Fwy NE
Albuquerque, NM 87109
Phone (505) 727-5785

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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

Interoperability endpoints

  • Direct secure messaging: mbryniarski100014@direct.phs.org
  • Direct secure messaging: mbryniarski7041@ahs.direct-ci.com

Organizations & group practices 8

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 4

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1528063161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE",
            "address_2": "STE 5630",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064920",
            "telephone_number": "505-727-5910",
            "fax_number": "505-727-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTERS ST NE",
            "address_2": "STE 401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022563",
            "telephone_number": "505-727-5910",
            "fax_number": "505-727-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNIARSKI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "62063",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "97-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.