Heather C Brislen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2011-0202 Issued in NM

Practice address

4600 Jefferson LN NE Ste D
Albuquerque, NM 87109-2134

Phone

(505) 433-7745

Fax

(505) 265-5199

NPI assigned

Jun 24, 2007

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of New Mexico School of Medicine, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.brislen.1@14087.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14087/brand/1/csg/1/fhir/r4

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.

• Lagom Health LLC

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1174975791
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1891991121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091102",
            "telephone_number": "505-433-7745",
            "fax_number": "505-265-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JEFFERSON LN NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092134",
            "telephone_number": "505-433-7745",
            "fax_number": "505-265-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISLEN",
        "first_name": "HEATHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2011-0202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Brion, MOTR/L
• Sonya Juanita Briones-Parks, LPCC
• Stephanie A Briones, MD
• Marisol Selena Brionez-Wooster
• Anita Briscoe, APRN-BC
• Kim Brissette, RN
• Jesse Brissey- Cohen
• Bristol Hospice - New Mexico, LLC
• Yelina Brito Elizardez, PA
• Dominic Brito, FNP-C

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.