Individual provider Active NPI

Rene Alejandro Bulnes Vides, MD

  • Infectious Disease Physician
  • Albuquerque, NM
National Provider Identifier
1912568577
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2025-0490 Issued in NM
Practice address
5901 Harper Dr NE BLDG 1
Albuquerque, NM 87109-3569
Phone
(505) 848-3730
Fax
(505) 848-3732
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2025-0490 NM
Internal Medicine Physician 207R00000X 2025-0490 NM
Infectious Disease Physician 207RI0200X 2025-0490 NM Primary

Addresses

Primary practice location

5901 Harper Dr NE BLDG 1
Albuquerque, NM 87109-3569

Mailing address

5901 Harper Dr NE BLDG 1
Albuquerque, NM 87109-3569
Phone (505) 848-3730

Other identifiers 1

IdentifierTypeStateIssuer
N0028456MedicaidNM

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
I20250915001028 NM Practitioner - Internal Medicine 4981932332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5901 Harper Dr NE
BLDG 1
Albuquerque, NM 87109-3569
Phone (505) 848-3730

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-0490NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases and Internal Medicine Associates P.C. Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

500 Walter St NE
Ste 104
Albuquerque, NM 87102
Phone (505) 727-4430

5901 Harper Dr NE
Bldg 1
Albuquerque, NM 87109
Phone (505) 848-3730

Interoperability endpoints

  • Direct secure messaging: rbulnesvides297999@direct.phhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECIADA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1912568577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 HARPER DR NE BLDG 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093569",
            "telephone_number": "505-848-3730",
            "fax_number": "505-848-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HARPER DR NE BLDG 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093569",
            "telephone_number": "505-848-3730",
            "fax_number": "505-848-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULNES VIDES",
        "first_name": "RENE",
        "middle_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "2025-0490",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2025-0490",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "2025-0490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0028456",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.