David Hult, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16997 Issued in NE

Legal business name

DAVID HULT, M.D., P.C.

Practice address

918 20TH Street
Gothenburg, NE 69138-1237

Phone

(308) 537-7131

Fax

(308) 537-7310

NPI assigned

Jun 11, 2007

Last updated

Apr 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David D Hult, M.D.

Title

Owner

Phone

(308) 537-7131

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol L Shackleton, M.D.

  • Family Medicine Physician
  • Gothenburg, NE
  • NPI 1629004759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1043413511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 20TH STREET",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381237",
            "telephone_number": "308-537-7131",
            "fax_number": "308-537-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 20TH STREET",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381237",
            "telephone_number": "308-537-7131",
            "fax_number": "308-537-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HULT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "HULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-537-7131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "4391",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47069425800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026082500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBR BLUE CROSS",
            "identifier": "04210",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "32390",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Gothenburg (Gothenburg Vol. Fire Dept.)
• Blaine Michael Cornelius, P.A.
• Craig D Bartruff M.D., P.C. (Gothenburg Medical Arts Rural Health Clinic)
• Craig D Bartruff, M.D., P.C. (Gothenburg Medical Arts Rural Health Clinic)
• John Alan Daup, OTR/L
• Carson Lee Davis
• Kandace Davis, PT
• Colby Thomas Delatour, P.T.A.
• Lacy J Dye, LIMHP
• Jackie E Erb

• Family Medicine Physician in Gothenburg, NE
• Providers in Gothenburg, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.