SOUTHERN NEW MEXICO NEUROSURGERY LLC NPI 1558558726

NPI Information

  • NPI: 1558558726
  • Provider Name: SOUTHERN NEW MEXICO NEUROSURGERY LLC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • CLIA Number: 32D2186985
  • Address: 3850 E LOHMAN AVE STE C
    LAS CRUCES, NM
    ZIP 88011
  • Phone: (575) 522-1974

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NPI Details

SOUTHERN NEW MEXICO NEUROSURGERY LLC is a neurological surgery in Las Cruces, NM. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. SOUTHERN NEW MEXICO NEUROSURGERY LLC NPI is 1558558726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3850 E LOHMAN AVE STE C
LAS CRUCES, NM
ZIP 88011-288
Phone: (575) 522-1974
Fax: (575) 522-5209

The provider's authorized official is Brett R. Henderson .
The authorized official title is President and has the following contact phone number (575) 522-1974.

The CLIA number assigned to this NPI record is 32D2186985 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 6/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900521553MEDICARE PINNEW MEXICO
221709751MEDICAIDNEW MEXICO
3DG08655OTHERRR MEDICARE
4NM007L05OTHERNEW MEXICOBCBS OF NM
56074090001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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