Pickett, Bradley P.

Pickett, Bradley P. is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2745. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Pickett, Bradley P. can be contacted via phone (505) 272-8950.

Contact Information

Primary practice address
2211 Lomas Blvd Ne Albuquerque NM 87106-2745
Phone: (505) 272-8950
Fax: (505) 272-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 97-341 New Mexico
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 97-34 New Mexico
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 97-34 New Mexico

Profile Details

NPI number 1487733192
LBN Legal business name Pickett, Bradley P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Nov 21st, 2023 - about 2 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 1487733192 NPPES
New Mexico MEDICAID Q2517
New Mexico MEDICAID 384941

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