Individual
BRENT A CROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13212 S 35TH ST, BELLEVUE, NE 68123-2229
(402) 630-2429
Mailing address
13212 S 35TH ST, BELLEVUE, NE 68123-2229
(402) 630-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20372
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557503
—
NE
Enumeration date
05/03/2006
Last updated
09/20/2023
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