Albuquerque Family and Sports Medicine

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

A-710-80 Issued in NM

Legal business name

ALBUQUERQUE FAMILY AND SPORTS MEDICINE

Practice address

101 Hospital Loop NE
Suite 209
Albuquerque, NM 87109-2129

Phone

(505) 872-8727

Fax

(505) 872-8728

NPI assigned

Mar 7, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Dean Bair Jr., D.O

Title

President

Phone

(505) 872-8727

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1912038688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "SUITE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-872-8727",
            "fax_number": "505-872-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "SUITE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-872-8727",
            "fax_number": "505-872-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE FAMILY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-872-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NM",
            "license": "A-710-80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1002",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Albuquerque Eye Prosthetics Inc
• Albuquerque Family Counseling
• Albuquerque Family Counseling
• Albuquerque Foot & Ankle, Inc.
• Albuquerque Gastroenterology Assoc PC
• Albuquerque Grand Senior Living, LLC

• Sports Medicine (Family Medicine) Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Sports Medicine (Family Medicine) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.