Bryniarski, Mark
Bryniarski, Mark is an individual health care provider with primary practice located at 500 Walters St Ne Ste 401, Albuquerque NM 87102-2563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bryniarski, Mark can be contacted via phone (505) 727-5910.Contact Information
Primary practice address
500 Walters St Ne Ste 401
Albuquerque NM 87102-2563
Phone: (505) 727-5910
Fax: (505) 727-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 62063 | Arizona |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 97-21 | New Mexico |
Profile Details
| NPI number | 1528063161 |
|---|---|
| LBN Legal business name | Bryniarski, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Aug 25th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528063161 | NPPES |
| Colorado | Other | 28919826 | MEDICAID GROUP NUMBER |
| Colorado | Other | DG3723 | MEDICAID GROUP NUMBER |
| Colorado | Other | 73926337 | MEDICAID GROUP NUMBER |
| Colorado | MEDICAID | 31901751 | MEDICAID GROUP NUMBER |
| Colorado | Other | 348308 | MEDICAID GROUP NUMBER |
| Colorado | Other | 97-21 | MEDICAID GROUP NUMBER |
| Colorado | Other | C810213 | MEDICAID GROUP NUMBER |
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