Individual
BRAD H GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-5011
(505) 609-2259
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004-0541
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41981782
—
NM
Enumeration date
08/01/2006
Last updated
02/21/2025
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