James Spencer Long, MD

Individual provider Active NPI Family Medicine Physician · Alma, NE

NPI 1538375613 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1538375613
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
9651 (NE)
Practice address
404 Carlyle St
Alma, NE 68920-2078
Phone
(308) 928-2525
Fax
(308) 928-2175
NPI assigned
May 15, 2007
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)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31426IAMDFamily Medicine Physician
9651NEMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9651 NE Yes
Family Medicine Physician 207Q00000X 31426 IA

Addresses

Primary practice location

404 Carlyle St
Alma, NE 68920-2078

Mailing address

PO Box 110
404 Carlyle
Alma, NE 68920
Phone (308) 928-2525

Other identifiers

IdentifierTypeStateIssuer
9651OtherNE
31426OtherIOWA LIC

Other providers in Alma, NE

All providers in Alma, NE · Family Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.