Thomas G. Bauer, D.C.
Individual provider Active NPI Chiropractor · Lincoln, NE
NPI 1740376359 · NPPES record last updated Jul 9, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 16, 1993.
Key facts
- NPI
- 1740376359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 618 (NE)
- Practice address
- 3201 Pioneers Blvd Ste 32
Lincoln, NE 68502-5963 - Phone
- (402) 484-8500
- Fax
- (402) 484-8532
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618 | NE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 618 | NE | Yes |
Addresses
Primary practice location
3201 Pioneers Blvd Ste 32
Lincoln, NE 68502-5963
Mailing address
3201 Pioneers Blvd Ste 32
Lincoln, NE 68502-5963
Phone (402) 484-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470629952-00 | Medicaid | NE | |
| 09614 | Other | NE | BLUE CROSS BLUE SHIELD |
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.