Individual
DR. JUDD P BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6052
NE
207RN0300X
Nephrology Physician
Primary
27849
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982833554
BCBS NE
NE
05
—
1982833554
—
IA
01
—
P01352298
RR MEDICARE
NE
Enumeration date
07/04/2009
Last updated
04/10/2019
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