Active NPI
Bruce David Gutnik, M.D.
- Psychiatry Physician
- Omaha, NE
National Provider Identifier
1861585713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13787
- Practice address
- 10050 Regency Cir
Suite 501
Omaha, NE 68114-3704 - Phone
- (402) 399-8847
- Fax
- (402) 399-8848
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13787 | NE | Primary |
Addresses
Primary practice location
10050 Regency Cir
Suite 501
Omaha, NE 68114-3704
Mailing address
10050 Regency Cir
Suite 501
Omaha, NE 68114-3704
Phone (402) 399-8847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13787 | NE | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861585713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 REGENCY CIR",
"address_2": "SUITE 501",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143704",
"telephone_number": "402-399-8847",
"fax_number": "402-399-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 REGENCY CIR",
"address_2": "SUITE 501",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143704",
"telephone_number": "402-399-8847",
"fax_number": "402-399-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTNIK",
"first_name": "BRUCE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "13787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.