Active NPI
David Lawrence Eckelbarger, M.D.
- Student in an Organized Health Care Education/Training Program
- Albuquerque, NM
National Provider Identifier
1588027320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RS2025-0043
- Practice address
- 1 University of New Mexico # 105590
Albuquerque, NM 87131-2824 - Phone
- (505) 272-2345
- Fax
- (505) 272-2374
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2025-0043 | NM | Primary |
Addresses
Primary practice location
1 University of New Mexico # 105590
Albuquerque, NM 87131-2824
Mailing address
1 University of New Mexico # 105590
Albuquerque, NM 87131-0001
Phone (505) 272-2345
Other practice location 1
5321 S McColl Rd
Edinburg, TX 78539-9168
Phone (956) 362-3571
Other practice location 2
6251 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2824
Phone (757) 261-5000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520000049 | NM | Order and Referring Only - Pediatric Medicine | 5698064392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2025-0043 | NM | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- deckelbarger684268@direct.sentara.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1588027320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO # 105590",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-2345",
"fax_number": "505-272-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO # 105590",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871312824",
"telephone_number": "505-272-2345",
"fax_number": "505-272-2374"
}
],
"practiceLocations": [
{
"address_1": "5321 S McColl Rd",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785399168",
"country_code": "US",
"telephone_number": "956-362-3571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6251 E Virginia Beach Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235022824",
"country_code": "US",
"telephone_number": "757-261-5000",
"fax_number": "757-962-5610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKELBARGER",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2025-0043",
"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 May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.