Organization Active NPI

John P Bader MD PC

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1932898293
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JOHN P BADER MD PC
Practice address
1101 So. 70TH Street
Ste. 200
Lincoln, NE 68510-4293
Phone
(402) 486-3132
Fax
(402) 486-3187
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dru E Becker
Title
Office Manager
Phone
(402) 486-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1101 So. 70TH Street
Ste. 200
Lincoln, NE 68510-4293

Mailing address

1101 So. 70TH Street
Ste. 200
Lincoln, NE 68510-4293
Phone (402) 486-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001822 NE Part B Supplier - Clinic/Group Practice 0244697894 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

2222 S 16th St
Ste 315
Lincoln, NE 68502
Phone (402) 475-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1932898293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SO. 70TH STREET",
            "address_2": "STE. 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-486-3132",
            "fax_number": "402-486-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SO. 70TH STREET",
            "address_2": "STE. 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-486-3132",
            "fax_number": "402-486-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P BADER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "DRU",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-486-3132"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.