Individual provider Active NPI

Blair Michael Bullinger, MMT, NTS

  • Mechanotherapist
  • Albuquerque, NM
National Provider Identifier
1881982080
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
6984 Issued in NM
Practice address
316 Madison St NE
Albuquerque, NM 87108-1243
Phone
(505) 206-9702
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 6984 NM Primary

Addresses

Primary practice location

316 Madison St NE
Albuquerque, NM 87108-1243

Mailing address

6601 Kathryn Ave SE
Albuquerque, NM 87108-4933
Phone (505) 206-9702

Other names 1

  • Mr. Blair Michael Garcia-Bullinger Other name

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

State licenses

LicenseStateTypeSpecialty
6984NMMDMechanotherapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1881982080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 KATHRYN AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084933",
            "telephone_number": "505-206-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MADISON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081243",
            "telephone_number": "505-206-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLINGER",
        "first_name": "BLAIR",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MMT, NTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NM",
            "license": "6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "GARCIA-BULLINGER",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "MMT, NTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.