Individual
DR. MARK BRYNIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WALTERS ST NE, STE 401, ALBUQUERQUE, NM 87102-2563
(505) 727-5910
(505) 727-5939
Mailing address
201 CEDAR ST SE, STE 5630, ALBUQUERQUE, NM 87106-4920
(505) 727-5910
(505) 727-5939
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
62063
AZ
207T00000X
Neurological Surgery Physician
Primary
97-21
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28919826
MEDICAID GROUP NUMBER
CO
05
—
31901751
—
CO
01
—
348308
MEDICARE GROUP NUMBER
CO
01
—
73926337
MEDICAID PRACTICE NUMBER
CO
01
—
97-21
NM LICENSE
NM
01
—
C810213
MEDICARE GROUP NUMBER
CO
01
—
DG3723
RAILROAD MEDICARE GROUP NUMBER
CO
Enumeration date
06/20/2005
Last updated
08/25/2021
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