# ROBERT G. BONEBRAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386758761
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 19313 | NE | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 19313 | NE | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 12/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1386758761 | — | IA |
| 05 | — | 470376604-16 | — | NE |