Daniel G Blomenberg
Individual provider Active NPI Pediatrics Physician · Norfolk, NE
NPI 1619985587 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1619985587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 17645 (NE)
- Practice address
- 301 N 27TH St
Suite 1
Norfolk, NE 68701 - Phone
- (402) 844-8000
- Fax
- (402) 844-8047
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain Point Laboratory LLC | Current |
Accepting new patients |
Locations
301 N 27th St
Ste 1
Norfolk, NE 68701
Phone (402) 844-8000
3901 W Norfolk Ave
Ste D
Norfolk, NE 68701
Phone (402) 844-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17645 | NE | Yes |
Addresses
Primary practice location
301 N 27TH St
Suite 1
Norfolk, NE 68701
Mailing address
301 N 27TH St
Suite 1
Norfolk, NE 68701
Phone (402) 844-8000
Other providers in Norfolk, NE
- Lindsey Blank
- Dion Blanke
- Andrea E Blecke
- Ellie Blocker
- Stephanie Blome
- Irene Lynn Blomquist
- Jennifer Marie Bloom
- Leigh Bloomquist
- Reghan Bloomquist
- Kwaku Poku Agyemang Boakye
All providers in Norfolk, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. 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.