Healthcare Provider Details
I. General information
NPI: 1598873762
Provider Name (Legal Business Name): DAVID A BIGLER, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2006
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N COTNER BLVD SUITE 311
LINCOLN NE
68505-2343
US
IV. Provider business mailing address
600 N COTNER BLVD SUITE 311
LINCOLN NE
68505-2343
US
V. Phone/Fax
- Phone: 402-467-4361
- Fax: 402-467-1864
- Phone: 402-467-4361
- Fax: 402-467-1864
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ND0101X |
| Taxonomy | MOHS-Micrographic Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NS0135X |
| Taxonomy | Procedural Dermatology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
SCHROEDER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 402-467-4361