Organization Active NPI

GBGH

Doing business as Nebraska Neuropathy Center

  • Rehabilitation Clinic/Center
  • Omaha, NE
National Provider Identifier
1326369075
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Jan 18, 2012

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1295937423MedicaidMO

Other names 1

  • Nebraska Neuropathy Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.