Provider Demographics
NPI:1497076624
Name:HODGES, BRIAN NEIL (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NEIL
Last Name:HODGES
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:MSC 10 5600 1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4107
Mailing Address - Fax:505-272-8098
Practice Address - Street 1:MSC10 5600 (ORTHOPEDICS)
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-0001
Practice Address - Country:US
Practice Address - Phone:550-527-2231
Practice Address - Fax:505-272-8098
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2020-09-09
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Provider Licenses
StateLicense IDTaxonomies
ORPG151483207X00000X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery