Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN R INGRAM, PA
ActiveBRIAN R INGRAM, PA is a Physician Assistant healthcare provider located in EDGEWOOD, New Mexico. NPI 1700368495 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EDGEWOOD, NM
Registration Details
- NPI Number
- 1700368495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2018 (7.9369576855876 yrs)
- Last Updated
- Aug 30, 2018
- License
-
PA2018-0050 (NM)
Practice Information
- Address
-
1851 OLD HWY 66EDGEWOOD, NM, 87015Browse NM providers · Browse ZIP 87015
- Phone
- 5052862396
- Fax
- 5052862398
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| JOSHUA JONES | PA-C | 1962811695 |
| JESSICA WISEMAN | — | 1851077614 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.