1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

REAGAN WOODBURY MD
NPI 1255183463
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 02, 2024PECOS Enrolled
MSC10 5620 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 8, ALBUQUERQUE, NM 87131(505) 272-3160(505) 272-9427 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2026, Mar 30, 2026, Apr 2, 2024 (3 updates tracked since 2024).

About Reagan Woodbury Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGAN WOODBURY MD (NPI 1255183463) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2026-0109) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255183463
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameREAGAN WOODBURYCredential: MD
Location AddressMSC10 5620 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 8Albuquerque, NM 87131-0001
Mailing AddressMsc10 5620 1 University Of New Mexico Albuquerque Nm 8Albuquerque, NM 87131-0001 · (505) 272-3160 · Fax (505) 272-9427
Phone(505) 272-3160
Fax(505) 272-9427
Sole ProprietorYes
Enumeration DateApril 2, 2024
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1255183463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2026-0109
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MSC10 5620 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 8, Albuquerque, NM 87131
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reagan Woodbury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Reagan Woodbury's NPI number?

The NPI number assigned to this healthcare provider is 1255183463, enumerated as an "individual" on April 02, 2024.

Where is the provider located?

The provider is located at MSC10 5620 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 8 ALBUQUERQUE, NM 87131 and the phone number is (505) 272-3160.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.