Cynthia L Brenner, MD
Individual provider Active NPI Internal Medicine Physician · Albuquerque, NM
NPI 1861586232 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1861586232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20020401 (NM)
- Practice address
- 1100 Central Ave SE FL 4B
PMG Hospitalists
Albuquerque, NM 87106-4930 - Phone
- (505) 724-6124
- Fax
- (505) 724-6125
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20020401 | NM | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20020401 | NM | Yes |
Addresses
Primary practice location
1100 Central Ave SE FL 4B
PMG Hospitalists
Albuquerque, NM 87106-4930
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79927751 | Medicaid | NM |
Other providers in Albuquerque, NM
- Sarah Kathleen Brennan
- Tara Eileen Brennan
- Whitney Leigh Brennan
- Michael D Brennand
- Alan Steven Brenner
- Joanna Marie Brenner
- Lindsay Brenner
- Mara Brenner
- Tamara Brenno-Uribarri
- Carolyn Brent
All providers in Albuquerque, NM · Internal Medicine 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 Jul 17, 2008. 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.