Active NPI
Bob J Bleicher, M.D.
- Pulmonary Disease Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 16291
- Practice address
- 2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796 - Phone
- (402) 474-3704
- Fax
- (402) 474-3748
- NPI assigned
- May 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 16291 | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796
Mailing address
2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796
Phone (402) 474-3704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47069910913 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423003163 | NE | Order and Referring Only - Hospice/Palliative Care | 9830171826 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horisun Hospice Inc. | Current | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Horisun Hospice Inc | Hospice | 5% Or Greater Direct Ownership Interest (47.5%) Corporate Officer W-2 Managing Employee |
Sep 1, 2021 Apr 1, 2004 Apr 1, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1447225255
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1447225255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861446809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "SUITE 405",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023796",
"telephone_number": "402-474-3704",
"fax_number": "402-474-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "SUITE 405",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023796",
"telephone_number": "402-474-3704",
"fax_number": "402-474-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEICHER",
"first_name": "BOB",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "16291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47069910913",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.