Active NPI 1851743942 Individual Practitioner Female Practitioner

Emily Jeanne Bryl , PA

Physician Assistant • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Emily Bryl, PA is a certified Physician Assistant practicing in Albuquerque, NM. With approximately 10 years of clinical experience since completing medical education in 2016, Emily Bryl delivers high-quality medical care to the local community at 5120 MASTHEAD ST NE.

Emily Bryl is affiliated with Dermatology And Skin Cancer Center Of Nm Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5120 Masthead St Ne

Albuquerque, NM 871094366

Telephone 5052437546

Fax 5052437547

Associated Practice Facility / Clinic

🏢 Dermatology & Skin Cancer Center Of Nm Pc Facility NPI 1235264284

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryl (10 Years) 10 Yrs

Albuquerque Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	836	143	$12.16	$4.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$209.55	$86.53
99213 Established patient office or other outpatient visit, typically 15 minutes	241	188	$157.66	$69.70
17000 Destruction of skin growth	223	190	$123.03	$40.29
17110 Destruction of up to 14 skin growths	184	163	$198.02	$79.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	145	$183.88	$98.16
11102 Tangential biopsy of single skin lesion	57	56	$187.84	$71.44
17004 Destruction of precancer skin growth, 15 or more growths	55	45	$304.05	$126.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$273.96	$129.72
17111 Destruction of skin growth, 15 or more growths	26	25	$235.55	$96.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$91.42	$43.61
11103 Biopsy of related skin growth, each additional growth	24	12	$94.32	$37.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	11	$7.06	$0.92
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$193.31	$72.90
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$177.99	$83.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,112	170	$12.00	$5.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	272	$183.00	$102.36
17000 Destruction of skin growth	291	210	$118.00	$39.85
17110 Destruction of up to 14 skin growths	259	219	$185.00	$81.57
99213 Established patient office or other outpatient visit, typically 15 minutes	242	196	$130.00	$72.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$260.00	$134.64
17004 Destruction of precancer skin growth, 15 or more growths	54	42	$278.00	$134.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$166.00	$91.16
17111 Destruction of skin growth, 15 or more growths	48	39	$221.00	$99.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$81.00	$45.45
11104 Punch biopsy, first skin growth	26	25	$179.00	$88.23
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	24	$303.00	$138.66
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	18	$173.00	$67.60
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	20	$671.00	$272.94
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	17	$165.00	$75.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$241.00	$107.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	12	$15.30	$1.08
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$612.00	$273.05
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$175.00	$85.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$884.00	$379.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$295.00	$110.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,076	170	$12.00	$5.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	292	$183.00	$104.03
17000 Destruction of skin growth	259	205	$118.00	$40.46
17110 Destruction of up to 14 skin growths	202	172	$185.00	$82.60
99213 Established patient office or other outpatient visit, typically 15 minutes	130	113	$130.00	$73.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$260.00	$135.16
17111 Destruction of skin growth, 15 or more growths	72	60	$221.00	$103.13
17004 Destruction of precancer skin growth, 15 or more growths	71	50	$278.00	$133.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$166.00	$91.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	18	$295.00	$121.63
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	17	$671.00	$278.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	21	$303.00	$136.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	20	$15.30	$1.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$81.00	$45.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$173.00	$76.84
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	13	$717.00	$344.96
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$612.00	$224.43
11900 Injection into skin growth, 1-7 growths	13	12	$97.00	$38.82
11104 Punch biopsy, first skin growth	11	11	$179.00	$97.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	944	158	$12.00	$5.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	366	271	$164.00	$106.32
17000 Destruction of skin growth	237	193	$118.00	$36.54
17110 Destruction of up to 14 skin growths	193	153	$185.00	$80.66
99213 Established patient office or other outpatient visit, typically 15 minutes	139	110	$108.00	$75.02
17004 Destruction of precancer skin growth, 15 or more growths	91	64	$278.00	$134.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	84	$260.00	$137.64
17111 Destruction of skin growth, 15 or more growths	56	47	$221.00	$95.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$66.00	$45.87
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	34	28	$159.00	$66.68
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	28	25	$191.00	$88.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$166.00	$92.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	18	$295.00	$127.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	21	$184.00	$93.42
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	21	$303.00	$143.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	16	$15.30	$1.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	20	$671.00	$262.13
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	13	$167.00	$80.58
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	16	13	$144.00	$71.95
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	13	12	$717.00	$372.25
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$392.00	$168.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	920	129	$12.00	$4.82
99213 Established patient office or other outpatient visit, typically 15 minutes	249	184	$108.00	$61.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	148	$66.00	$37.01
17000 Destruction of skin growth	217	160	$118.00	$36.42
17110 Destruction of up to 14 skin growths	170	139	$185.00	$76.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$166.00	$88.54
17004 Destruction of precancer skin growth, 15 or more growths	63	43	$278.00	$125.92
17111 Destruction of skin growth, 15 or more growths	50	45	$221.00	$91.68
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$113.00	$62.94
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	25	$159.00	$81.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	23	$303.00	$123.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	15	$295.00	$121.54
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	18	$241.00	$81.72
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	17	$191.00	$89.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	18	$671.00	$218.73
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	17	$184.00	$81.57
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	19	16	$717.00	$365.72
11104 Punch biopsy, first skin growth	17	17	$159.00	$98.96
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	16	$144.00	$83.21
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	14	$167.00	$67.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	13	$15.30	$1.45
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	11	$884.00	$311.47
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$392.00	$161.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	636	104	$12.00	$4.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	217	148	$66.00	$36.68
99213 Established patient office or other outpatient visit, typically 15 minutes	198	152	$108.00	$60.86
17000 Destruction of skin growth	172	132	$118.00	$37.72
17110 Destruction of up to 14 skin growths	143	119	$185.00	$75.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$166.00	$87.16
17004 Destruction of precancer skin growth, 15 or more growths	76	48	$278.00	$123.22
17111 Destruction of skin growth, 15 or more growths	55	44	$221.00	$98.99
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$113.00	$62.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	36	30	$159.00	$63.80
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	24	$671.00	$285.81
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	27	20	$241.00	$92.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	21	$303.00	$138.88
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	20	$144.00	$72.52
11104 Punch biopsy, first skin growth	18	16	$159.00	$78.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	15	$15.30	$1.61
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	11	$167.00	$68.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	11	$295.00	$118.15
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	11	$184.00	$81.59
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$191.00	$95.64
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	12	$717.00	$364.05
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	12	$884.00	$383.39
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	12	$116.00	$42.67
11105 Punch biopsy, each additional skin growth	12	12	$78.00	$49.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	408	74	$11.98	$4.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	136	$65.87	$35.70
99213 Established patient office or other outpatient visit, typically 15 minutes	145	116	$107.65	$59.54
17000 Destruction of skin growth	109	96	$117.62	$40.13
17110 Destruction of up to 14 skin growths	103	86	$184.43	$73.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$164.94	$88.22
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$112.20	$61.54
17004 Destruction of precancer skin growth, 15 or more growths	71	48	$276.62	$118.33
17111 Destruction of skin growth, 15 or more growths	40	36	$219.72	$98.95
11100 Biopsy of single growth of skin and/or tissue	26	26	$175.07	$75.73
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	25	23	$158.06	$77.96
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$183.63	$63.02
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	20	$166.62	$79.96
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	17	$190.28	$91.33
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	20	$302.50	$139.89
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	22	19	$143.53	$71.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	15	$15.30	$1.75
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	18	$666.41	$244.80
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	12	$709.51	$362.11
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	12	$239.97	$98.08
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	14	12	$207.10	$90.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$877.93	$377.57
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$115.43	$50.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	211	40	$11.90	$4.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	63	$65.45	$35.47
17000 Destruction of skin growth	70	57	$116.45	$36.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$162.35	$89.10
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$110.50	$61.27
17110 Destruction of up to 14 skin growths	50	46	$181.90	$70.55
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$106.25	$58.40
17004 Destruction of precancer skin growth, 15 or more growths	36	26	$272.85	$122.55
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	20	16	$181.05	$56.82
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	20	17	$156.40	$75.67
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	15	$141.95	$66.95
17111 Destruction of skin growth, 15 or more growths	18	16	$216.75	$88.20
11100 Biopsy of single growth of skin and/or tissue	18	18	$172.55	$67.51
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	13	$297.50	$145.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	11	$657.90	$233.14
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	11	11	$702.95	$356.77

Medical Specialties & State Licenses

CMS Verified: 2024-03-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License NM PA20160066

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Dermatology And Skin Cancer Center Of Nm Pc

5120 Masthead St Ne, Albuquerque, NM 871094366

Phone: 5052437546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Daniel Stulberg , MD

Family Medicine

NPI 1013022995

Doctor of Medicine (M.D.)

Dr. David Davis , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1124024880

Doctor of Medicine (M.D.)

Natalie Mills , PA-C

Physician Assistant

NPI 1568912327

Physician Assistant (Certified)

Dr. Monica Maria Romero , MD

Dermatology

NPI 1598804502

Doctor of Medicine (M.D.)

Dr. Matthew Thompson , MD

Dermatology

NPI 1639175441

Doctor of Medicine (M.D.)

Margaret Pribyl , PA

Physician Assistant

NPI 1740738699

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address April 30, 2024

Registered at 5120 MASTHEAD ST NE, ALBUQUERQUE, NM 871094366 (Tel: 5052437546)

📍

Updated Practice Location March 27, 2024

Registered at 5120 MASTHEAD ST NE, ALBUQUERQUE, NM 871094366 (Tel: 5052437546)

👤

Provider Name / Credentials Updated March 27, 2024

Recorded as EMILY BRYL, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

Dermatology (License #PA20160066 in NM)

✅

NPI Profile Active July 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2016

Registered at 12241 ACADEMY RD NE STE 204, ALBUQUERQUE, NM 871118051 (Tel: 5059384214)

📍

Updated Business Mailing Address July 13, 2016

Registered at 12241 ACADEMY RD NE STE 204, ALBUQUERQUE, NM 871118051 (Tel: 5059384214)

👤

Provider Name / Credentials Updated July 13, 2016

Recorded as EMILY BRYL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851743942

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2016

Last Update: April 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5120 Masthead St Ne

Albuquerque, NM 871094366

Phone: 5052437546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.