Active NPI
Robert Erwin Foreman, M.D., PH.D
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1437390283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 76-171
- Practice address
- 2509 Virginia St NE
Albuquerque, NM 87110-4694 - Phone
- (505) 269-1731
- NPI assigned
- Mar 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 76-171 | NM | Primary |
Addresses
Primary practice location
2509 Virginia St NE
Albuquerque, NM 87110-4694
Mailing address
2509 Virginia St NE
Albuquerque, NM 87110-4694
Phone (505) 269-1731
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76-171 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236384000000",
"number": "1437390283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 VIRGINIA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104694",
"telephone_number": "505-269-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 VIRGINIA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104694",
"telephone_number": "505-269-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "ROBERT",
"middle_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-07",
"last_updated": "2009-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "76-171",
"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 Mar 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.