Individual provider · NPI-1

Charles E Bruerd, D.O.

Anesthesiology · Farmington, NM

NPI number1710950647
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1710950647
Entity type
Individual (NPI-1)
Name
Charles E Bruerd
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 10, 2006
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyA1098-98NMYes

Practice location

801 W Maple St
Farmington, NM 87401-5630

Phone 505-326-6400 · Fax 505-326-4606

Mailing address

1515 E 20th St
Suite A
Farmington, NM 87401-9039

Phone 505-326-6400 · Fax 505-326-4606

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