Individual
DONALD H BREIT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 PINE LAKE RD, SUITE 310, LINCOLN, NE 68516-5497
(402) 420-3500
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0000
(970) 663-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20123
NE
2085R0202X
Diagnostic Radiology Physician
Primary
36809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498253
—
IA
05
—
100293800A
—
KS
01
—
300059982
RR MEDICARE
NE
01
—
31134
BLUE CROSS BLUE SHIELD
NE
05
—
7783180
—
SD
Enumeration date
05/20/2006
Last updated
10/19/2011
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