Individual provider Active NPI

Tara Elizabeth Bjorklund, DO

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1972120962
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2914 Issued in NE
Practice address
4220 L St
Omaha, NE 68107-1048
Phone
(402) 733-4433
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5151014711 MI
Obstetrics & Gynecology Physician 207V00000X 2914 NE Primary

Addresses

Primary practice location

4220 L St
Omaha, NE 68107-1048

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

44405 Woodward Ave - H23
St. Joseph Mercy Oakland - GME Office
Pontiac, MI 48341
Phone (402) 640-6404

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000973 NE Practitioner - Obstetrics/Gynecology 6608290853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Aug 20, 2024 Accepting new patients
Alegent Creighton Clinic PastSince Aug 20, 2024 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

4220 L St
Omaha, NE 68107
Phone (402) 717-7050

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Organizations & group practices 4

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 2

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1972120962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071048",
            "telephone_number": "402-733-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44405 Woodward Ave - H23",
            "address_2": "St. Joseph Mercy Oakland - GME Office",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "48341",
            "country_code": "US",
            "telephone_number": "402-640-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJORKLUND",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5151014711",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.