Active NPI
James Berend Van Delden, M.D.
- General Practice Physician
- Macy, NE
National Provider Identifier
1467477471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16596
- Practice address
- 100 Indian Hills Drive
Macy, NE 68039-0250 - Phone
- (402) 837-5381
- Fax
- (402) 837-5303
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16596 | NE | Primary |
Addresses
Primary practice location
100 Indian Hills Drive
Macy, NE 68039-0250
Mailing address
902 Nebraska St
Wayne, NE 68787-1428
Phone (402) 833-5531
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 |
|---|---|---|---|
| 16596 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467477471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 NEBRASKA ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871428",
"telephone_number": "402-833-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DRIVE",
"city": "MACY",
"state": "NE",
"postal_code": "680390250",
"telephone_number": "402-837-5381",
"fax_number": "402-837-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DELDEN",
"first_name": "JAMES",
"middle_name": "BEREND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "16596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macy, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.