Santa Fe Osteoporosis PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

82161 Issued in NM

Legal business name

SANTA FE OSTEOPOROSIS PC

Practice address

1925 Aspen Dr
Suite 803a
Santa Fe, NM 87505-5459

Phone

(505) 983-4955

Fax

(505) 983-0491

NPI assigned

Nov 27, 2006

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avelina Bardwell, MD

Title

Medical Director

Phone

(505) 983-4955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1215003801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-983-4955",
            "fax_number": "505-983-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-983-4955",
            "fax_number": "505-983-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE OSTEOPOROSIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "AVELINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-983-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "82161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z7534",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Fe Neurological Associates, P.a.
• Santa Fe Nursing Operations, LLC (Santa Fe Care Center)
• Santa Fe Oral and Facial Surgery (Bonita Medical Center)
• Santa Fe Oral Surgery, LLC
• Santa Fe Orthopaedic Associates PC
• Santa Fe Pain Center, Inc.
• Santa Fe Pathology Services PA
• Santa Fe Pediatric Associates PC
• Santa Fe Pediatric Cardiology, PC
• Santa Fe Physical Therapy Center Inc

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.