Individual provider Active NPI

Bruce Baron, DO

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1801965280
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
168 Issued in NE
Practice address
6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709
Phone
(402) 572-2324
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 168 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709

Mailing address

PO Box 4460
Omaha, NE 68104-0460
Phone (866) 491-5807

Other identifiers 2

IdentifierTypeStateIssuer
0959163MedicaidIA
1801965280MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051220000654 NE Practitioner - Diagnostic Radiology 7810919834 Reassigns benefits to 2 organizations
I20070808000498 IA Practitioner - Diagnostic Radiology 7810919834 Reassigns benefits to 2 organizations
I20240118004294 CO Practitioner - Diagnostic Radiology 7810919834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

11111 S 84TH St
Papillion, NE 68046-4122
Phone (402) 593-3000

11902 W Ctr Rd
200 Radiology Associates PC
Omaha, NE 68144-4326
Phone (402) 592-0711

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521
Phone (402) 484-6677

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8146

17201 Wright St
Suite 100
Omaha, NE 68130-2042
Phone (402) 717-4760

1760 County Rd J
Wahoo, NE 68066-4152
Phone (402) 443-4191

222 N 192ND St
Elkhorn, NE 68022-5363
Phone (402) 390-4111

2708 Fenno Dr
Edwards, CO 81632-6026
Phone (402) 484-6677

555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 219-8000

6901 N 72ND St
Omaha, NE 68122-1709
Phone (402) 572-2324

704 N 3Rd St
Plainview, NE 68769-2047
Phone (402) 582-4245

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5890

7950 Harrison St
La Vista, NE 68128-2912
Phone (402) 592-0711

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5100

8005 Farnam Dr
Suite 305
Omaha, NE 68114-3426
Phone (402) 390-4100

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-1116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
168NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Sep 1, 2007 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 19, 2019 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 19, 2019 Accepting new patients
Think Aksarben, LLC CurrentSince Jun 1, 2018 Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Midwest Medical Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Simonmed Imaging Nebraska LLC PastSince Apr 1, 2015 Accepting new patients
Professional Medical Imaging LLC Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1801965280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "BRUCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959163",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801965280",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.