Organization Active NPI

SE Budd MD PC

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1205084274
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18705 Issued in NE
Legal business name
SE BUDD MD PC
Practice address
12911 Western Cir
Omaha, NE 68154-1261
Phone
(402) 333-5082
Fax
(800) 664-3042
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Stephen Edward Budd, MD
Title
Owner
Phone
(402) 333-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 18705 NE Primary

Addresses

Primary practice location

12911 Western Cir
Omaha, NE 68154-1261

Mailing address

12911 Western Cir
Omaha, NE 68154-1261
Phone (402) 333-5082

National Provider Directory

National Provider Directory

Locations

1870 S 75th St
Omaha, NE 68124
Phone (402) 361-5700

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1205084274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 WESTERN CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541261",
            "telephone_number": "402-333-5082",
            "fax_number": "800-664-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 WESTERN CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541261",
            "telephone_number": "402-333-5082",
            "fax_number": "800-664-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE BUDD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-333-5082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "18705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.