Look up the most recent NPI and PECOS records

David Mark Hardwicke

Internal Medicine

Allopathic & Osteopathic Physicians

5150 Journal Center Blvd NE, Albuquerque, NM 87109

(505) 262-3212 (505) 232-1920

PECOS Enrollment

Based on the most recent information from CMS, provider David Mark Hardwicke does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1528093648
Provider Type
Individual
Full Name
Hardwicke, David Mark
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/11/2006
Last Updated
10/11/2011

Contact Information

Practice Location

5150 Journal Center Blvd NE, Albuquerque, NM 87109

(505) 262-3212

(505) 262-3381

Mailing Location

PO Box 27829, Albuquerque, NM 87125

(505) 232-1920

(505) 727-9276

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 20040775 New Mexico

Provider Identifiers

ID	Description	Issuer
ID 63034832	Description Medicaid	Issuer Unlisted New Mexico

David Mark Hardwicke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sollins, Jeffrey S

Finch, Kathy A

Bliss, Andrea

Internal Medicine Of The Southwest

Goldthwait, Jan P

Broyles, Julie

Primary Care And Preventive Services, Pc

Russo, James F

Morrow, Patricia D

Dicarlo, Mary