Provider Demographics
NPI:1821292160
Name:BROWN-GLABERMAN, URSA ABIGAIL (MD)
Entity Type:Individual
Prefix:
First Name:URSA
Middle Name:ABIGAIL
Last Name:BROWN-GLABERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:URSA
Other - Middle Name:ABIGAIL
Other - Last Name:BROWN GLABERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:505-272-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:1201 CAMINO DE SALUD, MSC 07-4025
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-925-0404
Practice Address - Fax:505-925-0408
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41577207R00000X
NMMD2013-0184207RH0003X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ41577OtherARIZONA MEDICAL BOARD
NMMD2013-0184OtherNEW MEXICO MEDICAL BOARD