MEDICARE: ZACHARY STEPHEN NEUBERT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	92569	SC
2	207RG0100X	Gastroenterology Physician	DOS-2091	HI
3	208D00000X	General Practice Physician	1117	NE
4	207RG0100X	Gastroenterology Physician	DO2025-0019	NM

General Provider Information

NPI Number	:	1275806721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY STEPHEN NEUBERT DO

Provider Business Mailing Address
First Line	:	98-211 PALI MOMI ST STE 312
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4306
Country	:	US
Telephone Number	:	808-486-0449
Fax Number	:	808-756-9552

Provider Business Practice Location Address
First Line	:	4705 MONTGOMERY BLVD NE STE 201
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-1233
Country	:	US
Telephone Number	:	505-727-7833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	05/20/2025

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