BEVERLY A PUCKA MD
NPI 1881701191
Obstetrics & Gynecology - Gynecology in Albuquerque, NM

Active since August 23, 2006
1001 COAL AVE SE, ALBUQUERQUE, NM 87106(505) 843-6168(505) 792-1978 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Beverly A Pucka Md NPPES

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

BEVERLY A PUCKA MD (NPI 1881701191) is an individual gynecology provider in Albuquerque, New Mexico, licensed in New Mexico (86107) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1881701191
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameBEVERLY A PUCKACredential: MD
Location Address1001 COAL AVE SEAlbuquerque, NM 87106-5205
Mailing Address6320 Riverside Plaza Ln Nw Ste BAlbuquerque, NM 87120-1710 · (505) 843-6168 · Fax (505) 792-1978
Fax(505) 792-1978
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 23, 20182 updates tracked since enumeration
NPI 1881701191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NM · 86107
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1001 COAL AVE SE, Albuquerque, NM 87106

Other Identifiers 1

Medicaid37325NM

Other Providers at the Same Location NPPES 20

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

Advanced Practice Midwife
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology (Gynecology)
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Specialist
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
1001 COAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Obstetrics & Gynecology)
1001 COAL AVE SE
ALBUQUERQUE, NM 87106

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 Beverly Pucka's NPI number?

The NPI number for Beverly Pucka is 1881701191. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Beverly Pucka located?

Beverly Pucka practices at 1001 Coal Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 843-6168.

What is Beverly Pucka's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Beverly Pucka was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.