Active NPI
Patrick Chambon Brichta, NP-C
- Family Nurse Practitioner
- Rio Rancho, NM
National Provider Identifier
1992041289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02089
- Practice address
- 7201 Fairbanks Dr NE
Rio Rancho, NM 87144-5395 - Phone
- (505) 577-3638
- NPI assigned
- Dec 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02089 | NM | Primary |
Addresses
Primary practice location
7201 Fairbanks Dr NE
Rio Rancho, NM 87144-5395
Mailing address
7201 Fairbanks Dr NE
Rio Rancho, NM 87144-5395
Phone (505) 577-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- pbrichta46198@direct.phs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1992041289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 FAIRBANKS DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445395",
"telephone_number": "505-577-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 FAIRBANKS DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445395",
"telephone_number": "505-577-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICHTA",
"first_name": "PATRICK",
"middle_name": "CHAMBON",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.