Individual
CHARLES BROOKS LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E4886
TX
207RC0000X
Cardiovascular Disease Physician
Primary
MD2024-1261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060033810
RAILROAD
—
01
—
110044854
RAILROAD
TX
05
—
1166555
—
TX
05
—
116655503
—
TX
01
—
80A126
BCBS
—
01
—
P00044328
RAILROAD
TX
Enumeration date
07/19/2005
Last updated
04/21/2025
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