Active NPI
Bruce Alan Eckhardt, PT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1346389475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 239
- Practice address
- 3811 Commons Ave NE
Albuquerque, NM 87109-5832 - Phone
- (505) 345-9599
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 239 | NM | Primary |
Addresses
Primary practice location
3811 Commons Ave NE
Albuquerque, NM 87109-5832
Mailing address
11602 Herman Roser Ave SE
Albuquerque, NM 87123-5713
Phone (505) 292-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346389475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11602 HERMAN ROSER AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871235713",
"telephone_number": "505-292-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 COMMONS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095832",
"telephone_number": "505-345-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHARDT",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.