Scott B Bomgaars, M.D.
Individual provider Active NPI Pediatrics Physician · Council Bluffs, IA
NPI 1780782839 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1780782839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 28603 (IA)
- Practice address
- 201 Ridge St
Suite 105
Council Bluffs, IA 51503-4643 - Phone
- (712) 396-5437
- NPI assigned
- Sep 20, 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28603 | IA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28603 | IA | Yes |
Addresses
Primary practice location
201 Ridge St
Suite 105
Council Bluffs, IA 51503-4643
Mailing address
201 Ridge St
Suite 105
Council Bluffs, IA 51503-4643
Phone (712) 396-5437
Other providers in Council Bluffs, IA
- Blake Michael Bodendorfer
- Karly Boehm
- Clifford Kent Boese
- Bogaard and Associates, LLC
- Jessica Sage Boldenow
- Richard Boothby Jr.
- Jessica Bortolotti Burke
- Jason Alan Bouska
- Keely Nicole Bouska
- Breanna Bowman
All providers in Council Bluffs, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. 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.