Individual
DR. MAURICE DAVID BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 S 144TH ST, OMAHA, NE 68144-5225
(402) 609-1500
(402) 426-1135
Mailing address
2727 S 144TH ST, OMAHA, NE 68144-5225
(402) 609-1500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20015
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002475
RAILROAD MEDICARE - GRP
—
05
—
0922658
—
IA
05
—
47064207113
—
NE
01
—
930039867
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
06/08/2023
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