MEDICARE: DR. BRIGID MEGHAN GERETY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	033087	GA
2	2085R0202X	Diagnostic Radiology Physician	MD2015-0754	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912950809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIGID MEGHAN GERETY MD

Provider Business Mailing Address
First Line	:	8020 CONSTITUTION PL NE
Second Line	:	SUITE 202
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7607
Country	:	US
Telephone Number	:	505-998-3096
Fax Number	:	505-998-3100

Provider Business Practice Location Address
First Line	:	8020 CONSTITUTION PL NE
Second Line	:	SUITE 202
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7607
Country	:	US
Telephone Number	:	505-998-3096
Fax Number	:	505-998-3100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/23/2025

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