Individual
DR. BRIAN D CASTLEMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
04-24122
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2009-0736
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100142310D
—
KS
01
—
18485043
BLUE CROSS
KS
01
—
323230
FIRSTGUARD
KS
Enumeration date
09/29/2006
Last updated
11/13/2014
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