Teddy Eugene Hunt
Individual provider Active NPI Driver · Broken Bow, NE
NPI 1811813629 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1811813629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- G04002619 (NE)
- Practice address
- 1323 S G St
Broken Bow, NE 68822-2333 - Phone
- (308) 870-2413
- NPI assigned
- Jun 25, 2026
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | G04002619 | NE | Yes |
Addresses
Primary practice location
1323 S G St
Broken Bow, NE 68822-2333
Mailing address
1323 S G St
Broken Bow, NE 68822-2333
Phone (308) 870-2413
Other providers in Broken Bow, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. 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.