Active NPI
GBGH
Doing business as Nebraska Neuropathy Center
- Rehabilitation Clinic/Center
- Omaha, NE
National Provider Identifier
1326369075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- GBGH
- Doing business as
- Nebraska Neuropathy Center
- Practice address
- 12309 Gold Street
Omaha, NE 68144-2760 - Phone
- (402) 330-1176
- Fax
- (402) 939-0410
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Meuret
- Title
- Owner
- Phone
- (636) 600-1137
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
12309 Gold Street
Omaha, NE 68144-2760
Mailing address
12309 Gold Street
Omaha, NE 68144-2760
Phone (402) 330-1176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295937423 | Medicaid | MO |
Other names 1
- Nebraska Neuropathy Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1326369075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12309 GOLD STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442760",
"telephone_number": "402-330-1176",
"fax_number": "402-939-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12309 GOLD STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442760",
"telephone_number": "402-330-1176",
"fax_number": "402-939-0410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GBGH",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-17",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "MEURET",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-600-1137"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295937423",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nebraska Neuropathy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 18, 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.