| Dr Mark Bryniarski, MD | |
|
500 Walters St Ne, Ste 401, Albuquerque, NM 87102-2563 | |
| (505) 727-5910 | |
| (505) 727-5939 |
| Full Name | Dr Mark Bryniarski |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 35 Years |
| Location | 500 Walters St Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528063161 | NPI | - | NPPES |
| 28919826 | Other | CO | MEDICAID GROUP NUMBER |
| DG3723 | Other | CO | RAILROAD MEDICARE GROUP NUMBER |
| 73926337 | Other | CO | MEDICAID PRACTICE NUMBER |
| 31901751 | Medicaid | CO | |
| 348308 | Other | CO | MEDICARE GROUP NUMBER |
| 97-21 | Other | NM | NM LICENSE |
| C810213 | Other | CO | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 62063 (Arizona) | Secondary |
| 207T00000X | Neurological Surgery | 97-21 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Lovelace Health System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245798024 PECOS PAC ID: 9739099326 Enrollment ID: O20031210000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Bryniarski, MD 201 Cedar St Se, Ste 5630, Albuquerque, NM 87106-4920 Ph: (505) 727-5910 | Dr Mark Bryniarski, MD 500 Walters St Ne, Ste 401, Albuquerque, NM 87102-2563 Ph: (505) 727-5910 |
Michael Javier Ortiz Torres, Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 201 Cedar St Se Ste 5630, Albuquerque, NM 87106 Phone: 505-563-1031 | |
Griffin Louis Ernst, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 201 Cedar St Se Ste 4620, Albuquerque, NM 87106 Phone: 505-563-6399 | |
Mehrnoush Gorjian, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: Department Of Neurosurgery 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4280 | |
Sheila Rose Eshraghi, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Msc10 5615, Albuquerque, NM 87131 Phone: 505-272-3401 | |
Daniel Shibuya, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Walter St Ne, Ste 401, Albuquerque, NM 87102 Phone: 505-727-5910 Fax: 505-727-5939 | |
Dr. James Andrew Botros, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3401 | |
Michael Kenneth Ziemke, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Cedar St Se Ste 5630, Albuquerque, NM 87106 Phone: 505-563-6399 Fax: 505-563-6680 |