DR. MD Brian Jay Jellison, NPI 1225016835
Diagnostic Radiology Physician in Albuquerque, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225016835
NPI Entity Type Individual
Provider Name DR. MD Brian Jay Jellison
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM, US
Provider Mailing Address 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM, US, 871107607
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. MD2008-0142
License State NM
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. MD Brian Jay Jellison
8020 Constitution Pl Ne
Suite 202

Albuquerque, NM, US

Phone: 505-998-3096
Fax: 505-998-3100

Mailing Address

DR. MD Brian Jay Jellison
8020 Constitution Pl Ne
Suite 202
Albuquerque, NM, US
ZIP 871107607
Phone: 505-998-3096
Fax: 505-998-3100

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

223452 MA No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

01061964A IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00331579 IN RR MEDICARE-351158723 01
200828930 IN MEDICAID 05
000000393001 IN ANTHEM-351158723 01
000000393004 IN ANTHEM-352047427 01
073867 IN SIHO-352047427 01
2101688 MA MEDICAID 05
073863 IN SIHO-351158723 01
468500 MA TUFTS HEALTH PLAN 01
92753337 NM MEDICAID 05
Q0433404 IN SHOCMO351158723-352047427 01
000000492351 IN ANTHEM 203778927 01
J28632 MA BCBS OF MA 01

Other Providers in NM, US

NPI Name Taxonomy Address

1598315772

Phillip Ma

Individual

Family Nurse Practitioner

8100 Constitution Pl Ne

Albuquerque, NM

1578040861

LCSW Angela Rodriguez

Individual

Clinical Social Worker

2504 Camino Entrada

Santa Fe, NM

1093947491

Las Cruces Physician Practices, Llc

Organization

Vascular Surgery Physician

4351 E Lohman Ave

Suite 403

Las Cruces, NM

1235484304

Las Cruces Physician Practices Llc

Organization

Obstetrics & Gynecology Physician

2100 S Triviz Dr

Suite H

Las Cruces, NM

1356390769

Las Cruces Physician Practices, Llc

Organization

Family Medicine Physician

2530 S Telshor Blvd

Suite 107

Las Cruces, NM

1336864701

LMHC Ann Marie M Benavidez

Individual

Mental Health Counselor

3232 Candelaria Rd Ne

Albuquerque, NM

1306358981

NP-C Ashley Nichole Quintana

Individual

Family Nurse Practitioner

6405 Los Cantos Ave Nw

Albuquerque, NM

1942925383

Era Healthcare Llc

Organization

Family Medicine Physician

3958 Agua De Vida Dr

Las Cruces, NM

1770971079

Brandon Thomas Cera

Individual

General Practice Dentistry

806 Calle Mejia

Santa Fe, NM

1457076887

Sabrina Clark

Individual

Behavior Technician

500 Marquette Ave Nw Ste 1200

Albuquerque, NM

1528783941

Baylei Pollaro

Individual

Student in an Organized Health Care Education/Training Program

6001 Whiteman Dr Nw

Albuquerque, NM

1558086967

Sshort Counseling

Organization

Clinical Social Worker

17482 Highway 4

Jemez Springs, NM

1437535267

D.P.M. Daniel Wright

Individual

Foot & Ankle Surgery Podiatrist

1820 W 21st St

Clovis, NM

1225788987

DO Adedayo Michael Balogun

Individual

Student in an Organized Health Care Education/Training Program

4351 E Lohman Ave Ste 300

Las Cruces, NM

1972511061

Family Hospice, Ltd.

Organization

Community Based Hospice Care Agency

1515 W Calle Sur St Ste 129

Hobbs, NM

1073501508

Medical Associates Of Northern New Mexico

Organization

Cardiovascular Disease Physician

3917 West Rd

Suite A

Los Alamos, NM

1215307194

Island Medical Hospitalist Lea Llc

Organization

Internal Medicine Physician

5419 N Lovington Hwy

Hobbs, NM

1457636706

Alteon Health New Mexico Llc

Organization

Emergency Medicine Physician

5419 N Lovington Hwy

Hobbs, NM

1477022135

RN MS MPA PMHNP-BC Dawn O'keefe

Individual

Psychiatric/Mental Health Nurse Practitioner

800 E 9th Ave

Truth Or Consequences, NM

1972228351

Juliet Ulibarri

Individual

Clinical Social Worker

6601 Valentine Way

Santa Fe, NM

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