Gronert, Brian

Gronert, Brian is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Gronert, Brian can be contacted via phone (505) 841-1234.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Phone: (505) 841-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2001-200 New Mexico
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2001-200 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME69110 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 2001-200 New Mexico

Profile Details

NPI number 1457354045
LBN Legal business name Gronert, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 21st, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457354045 NPPES
Colorado MEDICAID 80729541
Colorado MEDICAID 1643587
Colorado Other 264798
Colorado Other NM009G13
Colorado MEDICAID 104477100
Colorado MEDICAID 64907
Colorado Other 201029035
Colorado MEDICAID 579617
Colorado MEDICAID B0966

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