Logan Baumberger, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Omaha, NE
NPI 1336032119 · NPPES record last updated May 31, 2025
Key facts
- NPI
- 1336032119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 982055 Nebraska Medical Ctr
Omaha, NE 68198-2055 - Phone
- (402) 559-0390
- NPI assigned
- May 31, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251018000118 | NE | Order and Referring Only - Internal Medicine |
7214425636 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
982055 Nebraska Medical Ctr
Omaha, NE 68198-2055
Mailing address
982055 Nebraska Medical Ctr
Omaha, NE 68198-2055
Phone (402) 559-0390
Other providers in Omaha, NE
- Jayden Baumann
- Jenna Baumann
- Margaret Baumann
- Tyson Baumann
- William R Baumann
- Jennifer Baumert
- Paige Baumert
- Samantha Marie Baumert
- Brandelyn Nicole Baumgart
- Craig R Baumgart
All providers in Omaha, NE · Student in an Organized Health Care Education/Training Program in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.