David Mwebe, M.D.

Individual provider Active NPI Family Medicine Physician · Randolph, NE

NPI 1609969476 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609969476
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
23791 (NE)
Practice address
106 E Wayne St
Randolph, NE 68771-5300
Phone
(402) 337-0200
Fax
(402) 337-1020
NPI assigned
Oct 2, 2006
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
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23791 NE Yes

Addresses

Primary practice location

106 E Wayne St
Randolph, NE 68771-5300

Mailing address

PO Box 429
Osmond, NE 68765-0429
Phone (402) 748-3393

Other providers in Randolph, NE

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

Sources for this page

Verify at the official NPI Registry.