Individual
DR. JOSEPH PATRICK BAST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.116846
IL
207RN0300X
Nephrology Physician
Primary
25014
NE
207RN0300X
Nephrology Physician
38256
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04031
BCBS NE
NE
01
—
31-00480
SHARE
NE
01
—
31-00481
SHARE
NE
05
—
47078164500
—
NE
05
—
47078164513
—
NE
01
—
P00727910
RR MEDICARE
IA
01
—
P00740934
RR MEDICARE
NE
Enumeration date
06/04/2008
Last updated
04/10/2019
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