Brian Dale Elza, PT in Gallup, NM - Physical Therapist

Brian Dale Elza, PT is a Physical Therapist based in Gallup, New Mexico. Brian Dale Elza is licensed to practice in Maryland (license number 20290) and his current practice location is 516 Nizhoni Blvd, Gallup, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 722-1000.

NPI number for Brian Dale Elza is 1548238801 and his current mailing address is Po Box 1337, Gallup, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548238801.

Contact Information

	Brian Dale Elza, PT
	516 Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	(505) 722-1310

Healthcare Provider's Profile

Full Name	Brian Dale Elza
Gender	Male
Speciality	Physical Therapist
Location	516 Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548238801
Provider Enumeration Date: 03/10/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brian Dale Elza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548238801	NPI	-	NPPES
762189	Medicaid	AZ
77003888	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	20290 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Dale Elza is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Dale Elza, PT Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Brian Dale Elza, PT 516 Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

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Physical Therapist in Gallup, NM

Shantel Blume, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Nancy Canto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 Fax: 505-721-1899
Christine Sanchez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Natasha Hite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Maloney Ave, Gallup, NM 87301 Phone: 505-488-2615
Maya Rose Bernadett-peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Liberty Javenia Ang, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1839
Lynn Torres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Boardman Dr, Gallup, NM 87301 Phone: 505-722-9188 Fax: 505-926-0910

Brian Dale Elza, PT - Physical Therapist in Gallup, NM