Individual
DR. JAMES BRIAN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Mailing address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M4792
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
148495
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
24619
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962551440
IA MEDICAID
IA
05
—
47081304012
—
NE
Enumeration date
01/10/2007
Last updated
08/13/2009
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