Active NPI
Douglas R Pope, M.D.
- Specialist
- Lincoln, NE
National Provider Identifier
1306809074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14951
- Practice address
- 770 N Cotner Blvd
Ste 205
Lincoln, NE 68505-2310 - Phone
- (402) 467-4661
- Fax
- (402) 467-5006
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14951 | NE | Primary |
Addresses
Primary practice location
770 N Cotner Blvd
Ste 205
Lincoln, NE 68505-2310
Mailing address
PO Box 5559
Ste 205
Lincoln, NE 68505-0559
Phone (402) 467-4661
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14951 | Other | NE | STATE LICENSE NUMBER |
| 47054632400 | Medicaid | NE | |
| 01328 | Other | NE | BCBS PROVIDER ID |
| 080075500 | Other | NE | RAILROAD MC PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14951 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306809074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5559",
"address_2": "STE 205",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685050559",
"telephone_number": "402-467-4661",
"fax_number": "402-467-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD",
"address_2": "STE 205",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052310",
"telephone_number": "402-467-4661",
"fax_number": "402-467-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "DOUGLAS",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "14951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "14951",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47054632400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "01328",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC PROVIDER #",
"identifier": "080075500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.