Individual
CHAD C. BAUERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Mailing address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21549
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094951014
MEDICARE WPS
NE
Enumeration date
11/29/2005
Last updated
10/27/2016
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