Healthcare Provider Details

I. General information

NPI: 1568191831
Provider Name (Legal Business Name): COLLEEN ROSE BARNEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MUNICIPAL WAY
EDGEWOOD NM
87015-7210
US

IV. Provider business mailing address

MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-281-3406
  • Fax:
Mailing address:
  • Phone: 505-272-2345
  • Fax: 505-272-2374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD2025-0273
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: