Individual provider Active NPI

David Lawrence Eckelbarger, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
National Provider Identifier
1588027320
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RS2025-0043 Issued in NM
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

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520000049 NM Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5698064392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RS2025-0043NMMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.