NPIMap

Organization Active NPI

Bulldog Emergency Physicians

  • Emergency Medicine Physician
  • Artesia, NM
National Provider Identifier
1104947191
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BULLDOG EMERGENCY PHYSICIANS
Practice address
702 N 13TH St
Emergency Department
Artesia, NM 88210-1166
Phone
(800) 444-7009
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph W Taylor
Title
Exec Vice President, Emcare Physici
Phone
(800) 444-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

702 N 13TH St
Emergency Department
Artesia, NM 88210-1166

Mailing address

PO Box 37607
Philadelphia, PA 19101-5207
Phone (800) 444-7009

Other identifiers 2

IdentifierTypeStateIssuer
88451372MedicaidNM
NM007F29OtherNMBLUE SHIELD OF NEW MEXICO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104947191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191015207",
            "telephone_number": "800-444-7009",
            "fax_number": "800-305-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101166",
            "telephone_number": "800-444-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLDOG EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXEC VICE PRESIDENT, EMCARE PHYSICI",
        "authorized_official_telephone_number": "800-444-7009"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88451372",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NEW MEXICO",
            "identifier": "NM007F29",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.