DR. MD Brian Jay Jellison, NPI 1225016835
Diagnostic Radiology Physician in Albuquerque, NM, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | MD2008-0142 |
| License State | NM |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 223452 | MA | No | |||
| 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 |
|---|---|---|---|
|
Phillip Ma Individual |
8100 Constitution Pl Ne |
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LCSW Angela Rodriguez Individual |
2504 Camino Entrada |
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Las Cruces Physician Practices, Llc Organization |
4351 E Lohman Ave Suite 403 |
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Las Cruces Physician Practices Llc Organization |
2100 S Triviz Dr Suite H |
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Las Cruces Physician Practices, Llc Organization |
2530 S Telshor Blvd Suite 107 |
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LMHC Ann Marie M Benavidez Individual |
3232 Candelaria Rd Ne |
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NP-C Ashley Nichole Quintana Individual |
6405 Los Cantos Ave Nw |
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Era Healthcare Llc Organization |
3958 Agua De Vida Dr |
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Brandon Thomas Cera Individual |
806 Calle Mejia |
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Sabrina Clark Individual |
500 Marquette Ave Nw Ste 1200 |
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Baylei Pollaro Individual |
Student in an Organized Health Care Education/Training Program |
6001 Whiteman Dr Nw |
|
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Sshort Counseling Organization |
17482 Highway 4 |
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D.P.M. Daniel Wright Individual |
1820 W 21st St |
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DO Adedayo Michael Balogun Individual |
Student in an Organized Health Care Education/Training Program |
4351 E Lohman Ave Ste 300 |
|
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Family Hospice, Ltd. Organization |
1515 W Calle Sur St Ste 129 |
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Medical Associates Of Northern New Mexico Organization |
3917 West Rd Suite A |
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Island Medical Hospitalist Lea Llc Organization |
5419 N Lovington Hwy |
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Alteon Health New Mexico Llc Organization |
5419 N Lovington Hwy |
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|
RN MS MPA PMHNP-BC Dawn O'keefe Individual |
800 E 9th Ave |
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|
Juliet Ulibarri Individual |
6601 Valentine Way |
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