DR. ALAN STEVEN BRENNER M.D.
NPI 1063565075
Otolaryngology - Facial Plastic Surgery in Albuquerque, NM
About Dr. Alan Steven Brenner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALAN STEVEN BRENNER M.D. (NPI 1063565075) is an individual facial plastic surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2012-0882) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alan Steven Brenner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alan Brenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kykotsmovi, AZ 86039
- Reassigned Medicare billing, Texas enrollment
- 540 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alan Brenner's NPI number?
The NPI number for Alan Brenner is 1063565075. It was assigned to this individual provider in the NPPES registry on January 21, 2007.
Where is Alan Brenner located?
Alan Brenner practices at 201 Cedar St SE Suite 4600, Albuquerque, NM 87106. The listed phone number is (505) 563-6450.
What is Alan Brenner's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Alan Brenner enrolled in Medicare?
Yes. Alan Brenner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alan Brenner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alan Brenner reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Kykotsmovi, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Brenner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alan Brenner was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Alan Steven Brenner, M.D. · NPI 1063565075
Facial Plastic Surgery physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since January 21, 2007.
## Identity
- **NPI:** 1063565075 (Entity type: Individual)
- **Enumerated:** January 21, 2007
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** MD2012-0882 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 CEDAR ST SE, SUITE 4600, Albuquerque, NM 87106-4917
- **Phone:** (505) 563-6450 · **Fax:** (505) 563-6484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tuba City Regional Health Care Corporation (NPI 1396921870, Kykotsmovi, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 0100601 (WA); Medicaid 1158609 (WA); Other G000100601 (WA); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1063565075) · Data from the CMS NPPES public registry.