Individual provider Active NPI

Bryan Wood, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1376620625
Registry record updated Jan 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.081971 Issued in OH
Practice address
504 Elm St NE
Albuquerque, NM 87102-2512
Phone
(505) 724-2000
NPI assigned
Nov 1, 2006
Last updated
Jan 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.081971 OH Primary
Internal Medicine Physician 207R00000X MD2006-0846 NM

Addresses

Primary practice location

504 Elm St NE
Albuquerque, NM 87102-2512

Mailing address

9165 Dominion Cir
Cincinnati, OH 45249-8404
Phone (513) 583-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421001968 NM Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0143247908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.081971OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevaeh Hospice Inc. Current Accepting new patients
Montgomery Hospitalists LLC Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Milagro Medical Group PC Past Accepting new patients
Ipc Hospitalists of New Mexico, Inc Internal Medicine Past Accepting new patients
Kenwood Hospitalists, LLC Internal Medicine Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nevaeh Hospice IncAlbuquerque, NM, CCN 321583 Hospice Contracted Managing Employee (20%)
Corporate Director (50%)
Sep 15, 2025
Jan 26, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263600000000",
    "number": "1376620625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 DOMINION CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498404",
            "telephone_number": "513-583-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-724-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.081971",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2006-0846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.