Healthcare Provider Details

I. General information

NPI: 1972746642
Provider Name (Legal Business Name): BRIAN JAMES HAIGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2009
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 EAST RD STE 104
LOS ALAMOS NM
87544-4301
US

IV. Provider business mailing address

195 EAST RD STE 104
LOS ALAMOS NM
87544-4301
US

V. Phone/Fax

Practice location:
  • Phone: 505-412-7756
  • Fax: 505-662-8859
Mailing address:
  • Phone: 505-412-7756
  • Fax: 505-662-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD2013-0649
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: