1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Pediatrics
  6. NPI Profile

BRYAN D UPHAM M.D.
NPI 1982624136
Pediatrics - Pediatric Emergency Medicine in Albuquerque, NM

Active since July 20, 2006PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO, UNM DEPARTMENT OF EMERGENCY MEDICINE, MSC10 5560, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan D Upham M.d. NPPES

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

BRYAN D UPHAM M.D. (NPI 1982624136) is an individual pediatric emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2007-0577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982624136
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameBRYAN D UPHAMCredential: M.D.
Location Address1 UNIVERSITY OF NEW MEXICO, UNM DEPARTMENT OF EMERGENCY MEDICINE, MSC10 5560Albuquerque, NM 87131-0001
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-3120 · Fax (505) 272-8060
Phone(505) 272-5062
Fax(505) 272-6503
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1982624136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NM · MD2007-0577✔ Licensed in PA · MD424533
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD424533 (PA)
1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
Open in Google Maps ↗

Other Identifiers 3

Medicaid101460563PA
Medicare UPINI48279
Medicaid0089869NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan D Upham M.d. 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.

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.

DR. JOSHUA OKORO-SOKOH MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
SHREYA NUGURI
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DEVIN ALEXANDER MAEZ MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. KATHRYN ANNE CERAMI DO
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (979) 492-0011
RAEHANNA ABDULNASSER AHMED DO
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-8244
JESSICA MITCHELL
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO, DEPARTMENT OF EMERGENCY MEDICINE MSC 11 6025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
MICHAEL JOSHUA FOX DO
Radiology (Diagnostic Radiology)
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-0932
JESSICA MCALLISTER MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5580

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 Bryan Upham's NPI number?

The NPI number for Bryan Upham is 1982624136. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Bryan Upham located?

Bryan Upham practices at 1 University Of New Mexico Unm Department Of Emergency Medicine, Msc10 5560, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Bryan Upham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Bryan Upham enrolled in Medicare?

Yes. Bryan Upham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Upham was last updated on September 14, 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.