Mcfadden, Brook L

Mcfadden, Brook L is an individual health care provider with primary practice located at 6621 Gulton Ct Ne , Albuquerque NM 87109-4407. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Mcfadden, Brook L can be contacted via phone (505) 888-0443.

Contact Information

Primary practice address
6621 Gulton Ct Ne Albuquerque NM 87109-4407
Fax: (505) 888-1398
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD2010-0172 New Mexico
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 35121536 Ohio
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD2010-0172 New Mexico
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD2010-0172 New Mexico

Profile Details

NPI number 1508903881
LBN Legal business name Mcfadden, Brook L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508903881 NPPES
New Mexico MEDICAID 29825334

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