Healthcare Provider Details

I. General information

NPI: 1629058060
Provider Name (Legal Business Name): THOMAS G HARBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8560 FOXTAIL DR STE 201
LINCOLN NE
68526-6140
US

IV. Provider business mailing address

8560 FOXTAIL DR STE 201
LINCOLN NE
68526-6140
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-3873
  • Fax: 402-499-3245
Mailing address:
  • Phone: 402-219-3873
  • Fax: 402-499-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20128
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4602
License Number StateSD
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2024048901
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: