Active NPI
Bruce D. Tempest, MD
- Allergy & Immunology (Internal Medicine) Physician
- Gallup, NM
National Provider Identifier
1629040407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 70-208
- Practice address
- 650 Vanden Bosch Pkwy
#A
Gallup, NM 87301-5508 - Phone
- (505) 726-6980
- NPI assigned
- Feb 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 70-208 | NM | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 70-208 | NM | Primary |
Addresses
Primary practice location
650 Vanden Bosch Pkwy
#A
Gallup, NM 87301-5508
Mailing address
1901 Redrock Dr
PFS Dept
Gallup, NM 87301-5683
Phone (505) 863-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102935 | Medicaid | AZ | |
| 10017955 | Other | NM | LOVELACE |
| NM001H34 | Other | NM | BCBS |
| S0884 | Medicaid | NM | |
| PROVP15878 | Other | NM | MOLINA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70-208 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629040407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 REDROCK DR",
"address_2": "PFS DEPT",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015683",
"telephone_number": "505-863-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 VANDEN BOSCH PKWY",
"address_2": "#A",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015508",
"telephone_number": "505-726-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPEST",
"first_name": "BRUCE",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "70-208",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NM",
"license": "70-208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102935",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10017955",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM001H34",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S0884",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP15878",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.