Virgil V Ottun, M.D.
Individual provider Active NPI General Practice Physician · Sargent, NE
NPI 1043583560 · NPPES record last updated Feb 14, 2012
Key facts
- NPI
- 1043583560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 13905 (NE)
- Practice address
- 81084 Round Valley Rd
Sargent, NE 68874-3119 - Phone
- (308) 527-3974
- NPI assigned
- Feb 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13905 | NE | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13905 | NE | Yes |
Addresses
Primary practice location
81084 Round Valley Rd
Sargent, NE 68874-3119
Mailing address
81084 Round Valley Rd
Sargent, NE 68874-3119
Phone (308) 527-3974
Other providers in Sargent, NE
- Central Nebraska Medical Clinic at Sargent
- County of Custer School District #84
- Miranda Michelle Ann Olson
- Timothy Osienger
- Carol Russell
- Sargent Ambulance
- Sargent Ambulance
- Kristin Slagle
- Paige Smith
All providers in Sargent, NE · General Practice Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.