MEDICARE: DR. NICOLE D. BIRGE MD

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	2080N0001X	Neonatal-Perinatal Medicine Physician	24217	NE
2	208000000X	Pediatrics Physician	5057	NE

General Provider Information

NPI Number	:	1518185206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE D. BIRGE MD

Provider Business Mailing Address
First Line	:	914 S 37TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-1815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	982185 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-2185
Country	:	US
Telephone Number	:	402-559-5380
Fax Number	:

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	02/22/2026

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