David Alan Glenn-Stewart
Individual provider Active NPI Contractor · Bellevue, NE
NPI 1366240657 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1366240657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3604 Summit Plaza Dr
Bellevue, NE 68123-1065 - Phone
- (402) 490-1236
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
3604 Summit Plaza Dr
Bellevue, NE 68123-1065
Mailing address
3604 Summit Plaza Dr
Bellevue, NE 68123-1065
Phone (402) 490-1236
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.