Individual
BARRY D NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 TIJERAS AVE NE, SUITE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 848-8077
Mailing address
1020 TIJERAS AVE NE, STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
78-230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040012235
RR MEDICARE ID
NM
05
—
13201
—
NM
01
—
NM003124
BCBS ID
NM
Enumeration date
08/08/2006
Last updated
08/25/2020
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