Brian R Ingram, PA
Brian R Ingram, PA is a Physician Assistant in Edgewood, New Mexico. Qualified in 2018, 8 years ago. Practices with H2 Rehabilitation Services of Virginia, LLC, a 67-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 8
- Licensed in
- NM
- In the registry since
- 2018
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1851 Old Hwy 66Edgewood, NM 87015
Phone: (505) 286-2396
Fax: (505) 286-2398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2018-0050 (NM) |
|---|
Record details
| NPI number | 1700368495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 30, 2018 |
| Last updated in NPPES | August 30, 2018 |
| Mailing address | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | H2 Rehabilitation Services Of Virginia, Llc — 67 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Edgewood
-
Lisa Rachelle Torres, PA
8 Medical Center Rd, Edgewood, NM 87015-7086 · (505) 281-3406
-
Jessica Wiseman
7 Municipal Way, Edgewood, NM 87015 · (505) 281-3406