Individual
DR. BENJAMIN JOHN BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(855) 524-4001
(402) 572-3206
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1658
NE
208M00000X
Hospitalist Physician
Primary
1658
NE
208M00000X
Hospitalist Physician
DO-04998
IA
Other
Enumeration date
08/05/2014
Last updated
09/09/2019
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