Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian R Ingram, PA

Individual provider Physician Assistant · NPI 1700368495

Brian R Ingram, PA is a Physician Assistant in Edgewood, New Mexico. Qualified in 2018, 8 years ago. Practices with H2 Rehabilitation Services of Virginia, LLC, a 67-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1851 Old Hwy 66
Edgewood, NM 87015
Phone: (505) 286-2396
Fax: (505) 286-2398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2018-0050 (NM)

Record details

NPI number1700368495
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice H2 Rehabilitation Services Of Virginia, Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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