Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brian L. Costello, PA-C

Individual provider Medical Physician Assistant · NPI 1154306454

Mr. Brian L. Costello, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 1994, 32 years ago. Practices with Albuquerque Dermatology Associates, PA, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
32
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5310 Homestead Rd NE Ste 301
Albuquerque, NM 87110-1437
Phone: (505) 872-4700
Fax: (505) 872-4709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1154306454
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESSeptember 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Albuquerque Dermatology Associates, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque