Bryan D Upham
M.D. | Pediatric Emergency Medicine | Male
Bryan D Upham, M.D. is a Albuquerque, New Mexico based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Bryan D Upham is
1 University Of New Mexico, Unm Department Of Emergency Medicine, Msc10 5560, Albuquerque, New Mexico - 87131-0001. He can be contacted on phone at
505-272-5062 and fax number 505-272-6503.
Bryan D Upham is a sole proprietor of his business.
NPI number (Unique professional ID) for Bryan D Upham is
1982624136 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 14 Sep, 2011.
Bryan D Upham license number is
MD2007-0577 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New Mexico.
Bryan D Upham has special qualifications to manage emergencies in infants and children.
Complete Profile:
Bryan D Upham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Bryan D Upham |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Bryan D Upham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 University Of New Mexico, Unm Department Of Emergency Medicine, Msc10 5560
Albuquerque, NM, 87131-0001
United States |
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| Phone Number : | 505-272-5062 |
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| Fax Number : | 505-272-6503 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982624136 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 14 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan D Upham are as mentioned. Primary taxonomy code for Bryan D Upham, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD424533 | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | MD424533 | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD2007-0577 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Bryan D Upham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 101460563 | MEDICAID | PA | |
| 0089869 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 933 Bradbury Dr Se Ste 2222
Albuquerque, NM, 87106-4375
United States |
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| Phone Number : | 505-272-3120 |
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| Fax Number : | 505-272-8060 |
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Business Location:
Patients can refer following map for directions to
Bryan D Upham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.