IndividualActive
Percy Pentecost, MD
NPI 1750377412 · Geriatric Medicine (Internal Medicine) Physician · Albuquerque, NM
Provider details
- NPI number
- 1750377412
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2004-0754 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3016 Mackland Ave Ne
Albuquerque, NM 87106-2018
Phone: (505) 399-0890
Fax: (505) 448-0778
Approximate (ZIP-level) locationGet directions
Mailing address
3016 Mackland Ave Ne
Albuquerque, NM 87106-2018
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2021-02-15
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.