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WALTER B FORMAN MD
NPI 1417964453
Family Medicine - Geriatric Medicine in Albuquerque, NM

Active since August 02, 2006
8210 LOUISIANA BLVD. NE, SUITE C, ALBUQUERQUE, NM 87113(505) 858-1222(505) 858-1224 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter B Forman Md NPPES

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

WALTER B FORMAN MD (NPI 1417964453) is an individual geriatric medicine provider in Albuquerque, New Mexico, licensed in New Mexico (88-168) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417964453
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameWALTER B FORMANCredential: MD
Location Address8210 LOUISIANA BLVD. NE, SUITE CAlbuquerque, NM 87113-1761
Mailing Address8210 Louisiana Blvd. Ne, Suite CAlbuquerque, NM 87113-1761 · (505) 858-1222 · Fax (505) 858-1224
Phone(505) 858-1222
Fax(505) 858-1224
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateNovember 21, 2011
✔ NPI 1417964453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NM · 88-168
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
8210 LOUISIANA BLVD. NE, Albuquerque, NM 87113
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Other Identifiers 2

Medicare UPINNM302707
Medicaid00006817NM

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKSHMI GANGA MD
Internal Medicine (Geriatric Medicine)
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
DR. ROBERT C MCDEVITT MD
Emergency Medicine
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
MS. ANDREA G WEISS PA-C
Physician Assistant (Medical)
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
MS. CAROL LORRAINE MEROVKA MD
Family Medicine
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
MS. GAIL CARMAN DE LA CRUZ CNP
Nurse Practitioner (Adult Health)
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
MRS. VANESSA S ROGERS PA-C
Physician Assistant
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
MR. TIMOTHY D. KRENIK PA-C
Physician Assistant (Medical)
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222
CARMEN E MONTANO MD
Internal Medicine
8210 LOUISIANA BLVD. NE, SUITE C
ALBUQUERQUE, NM 87113
Bernalillo County (505) 858-1222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Forman's NPI number?

The NPI number for Walter Forman is 1417964453. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Walter Forman located?

Walter Forman practices at 8210 Louisiana Blvd. NE Suite C, Albuquerque, NM 87113. The listed phone number is (505) 858-1222.

What is Walter Forman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Walter Forman was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.