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BRIAN RUSSELL DIEDRICH CNP
NPI 1245823558
Nurse Practitioner - Family in Santa Fe, NM

Active since February 17, 2021
23 S CHAMISA DR, SANTA FE, NM 87508(303) 506-7260 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Russell Diedrich Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN RUSSELL DIEDRICH CNP (NPI 1245823558) is an individual family provider in Santa Fe, New Mexico, licensed in New Mexico (62824) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1245823558
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRIAN RUSSELL DIEDRICHCredential: CNP
Location Address23 S CHAMISA DRSanta Fe, NM 87508-9149
Mailing Address23 S Chamisa DrSanta Fe, NM 87508-9149 · (303) 506-7260
Phone(303) 506-7260
Sole ProprietorYes
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1245823558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 62824
23 S CHAMISA DR, Santa Fe, NM 87508
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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 Brian Diedrich's NPI number?

The NPI number for Brian Diedrich is 1245823558. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Brian Diedrich located?

Brian Diedrich practices at 23 S Chamisa Dr, Santa Fe, NM 87508. The listed phone number is (303) 506-7260.

What is Brian Diedrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brian Diedrich was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.