Bethany Brown – Peer Specialist in Albuquerque, NM

Key facts

NPI: 1548094303
Entity type: Individual (NPI type 1)
Primary specialty: Peer Specialist 175T00000X
License: 1906 (NM)
Practice address: 13139 Central Ave NE
Albuquerque, NM 87123-3031
Phone: (505) 595-1607
NPI assigned: Aug 26, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Grand Summit LLC Community/Behavioral Health Agency · Albuquerque, NM · NPI 1750107199

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1906	NM	MD	Orthopedic Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Grand Summit LLC		Current since Dec 28, 2025	Accepting new patients

Locations

13139 Central Ave NE
Albuquerque, NM 87123
Phone (505) 575-1607

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community Health Worker	172V00000X	CCSS
Peer Specialist	175T00000X	1906	NM	Yes

Addresses

Primary practice location

13139 Central Ave NE
Albuquerque, NM 87123-3031

Mailing address

13139 Central Ave NE
Albuquerque, NM 87123-3031
Phone (505) 595-1607

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Peer Specialist 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 Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.