IndividualActive
Brian Costello, PA-C
NPI 1154306454 · Medical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1154306454
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5310 Homestead Rd Ne
Suite 301
Albuquerque, NM 87110-1437
Phone: (505) 872-4700
Fax: (505) 872-4709
Approximate (ZIP-level) locationGet directions
Mailing address
5310 Homestead Rd Ne
Albuquerque, NM 87110-1437
Registry dates
- Enumerated
- 2005-12-08
- Last updated
- 2016-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.