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EDGAR C. BOEDEKER M.D.
NPI 1861586935
Internal Medicine - Gastroenterology in Albuquerque, NM

Active since October 03, 2006
1001 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87106(505) 925-6000(505) 272-8018 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar C. Boedeker M.d. NPPES

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

EDGAR C. BOEDEKER M.D. (NPI 1861586935) is an individual gastroenterology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2005-0398) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861586935
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDGAR C. BOEDEKERCredential: M.D.
Location Address1001 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87106-4713
Mailing Address1001 Dr Martin Luther King Jr Ave NeAlbuquerque, NM 87106-4713 · (505) 925-6000 · Fax (505) 272-8018
Phone(505) 925-6000
Fax(505) 272-8018
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 17, 2012
✔ NPI 1861586935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NM · MD2005-0398
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1001 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87106
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Other Identifiers 5

Medicaid989444AZ
Medicare UPINE92682
Medicaid46554548NM
Medicare ID-Type Unspecified345602701
Medicaid43351841CO

Other Providers at the Same Location NPPES 5

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

HEIDI MODESTE BARNES PHYSICIAN ASSISTANT
Physician Assistant
1001 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 925-6000
MICHAEL W GAVIN MD
Internal Medicine (Gastroenterology)
1001 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-4755
GEORGES BIRENBAUM MD
Ophthalmology
1001 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 247-1073
JOSEPH ALCORN
Internal Medicine (Gastroenterology)
1001 DR MARTIN LUTHER KING JR AVE NE, UNM DIGESTIVE DISEASE CLINIC
ALBUQUERQUE, NM 87106
Bernalillo County (505) 925-6000
MERRICK BUCKINGHAM
Physician Assistant (Surgical)
1001 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 925-6000

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 Edgar Boedeker's NPI number?

The NPI number for Edgar Boedeker is 1861586935. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Edgar Boedeker located?

Edgar Boedeker practices at 1001 Dr Martin Luther King Jr Ave NE, Albuquerque, NM 87106. The listed phone number is (505) 925-6000.

What is Edgar Boedeker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Edgar Boedeker was last updated on May 17, 2012. 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.