Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Merrick Buckingham

Individual provider Physician Assistant · NPI 1659591279

Merrick Buckingham is a Physician Assistant in Albuquerque, New Mexico. Licensed in California and New Mexico. Registered with an NPI since 2007.

Licensed in
CA, NM
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1001 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87106-4713
Phone: (505) 925-6000
Fax: (505) 925-7849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2010-0054 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 18180 (CA)

Record details

NPI number1659591279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESMarch 22, 2017

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