Active NPI
Nadine B Dubrule, MD
- Family Medicine Physician
- Carlsbad, NM
National Provider Identifier
1730162629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2009-0215
- Practice address
- 2013 San Jose Blvd
Carlsbad, NM 88220-5426 - Phone
- (575) 887-2455
- Fax
- (575) 234-2945
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
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 | MD2009-0215 | NM | Primary |
Addresses
Primary practice location
2013 San Jose Blvd
Carlsbad, NM 88220-5426
Mailing address
2013 San Jose Blvd
Carlsbad, NM 88220-5426
Phone (575) 887-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30204957 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DH Family Medicine Nashua Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Merrimack, NH
- NPI 1063616886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1730162629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 SAN JOSE BLVD",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205426",
"telephone_number": "575-887-2455",
"fax_number": "575-234-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 SAN JOSE BLVD",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205426",
"telephone_number": "575-887-2455",
"fax_number": "575-234-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBRULE",
"first_name": "NADINE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2009-0215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30204957",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.