Active NPI
Allan G Bendorf, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
National Provider Identifier
1922077239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R17930
- Practice address
- 500 Walter St NE
Suite 409
Albuquerque, NM 87102-2534 - Phone
- (505) 243-7729
- Fax
- (505) 243-4804
- NPI assigned
- Mar 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R17930 | NM | Primary |
Addresses
Primary practice location
500 Walter St NE
Suite 409
Albuquerque, NM 87102-2534
Mailing address
PO Box 30585
Albuquerque, NM 87190-0585
Phone (505) 243-7729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93914 | Medicaid | NM |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Anesthesia Services | Past | Accepting new patients | |
| Anesthesia Specialists of Albuquerque | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1831104215
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1740295120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922077239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30585",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871900585",
"telephone_number": "505-243-7729",
"fax_number": "505-243-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALTER ST NE",
"address_2": "SUITE 409",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022534",
"telephone_number": "505-243-7729",
"fax_number": "505-243-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDORF",
"first_name": "ALLAN",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R17930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93914",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.