Healthcare Provider Details

I. General information

NPI: 1538007075
Provider Name (Legal Business Name): DWAYNE BARFIELD III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10485 SPAULDING ST
OMAHA NE
68134-3740
US

IV. Provider business mailing address

9744 MOCKINGBIRD DR
OMAHA NE
68127-2013
US

V. Phone/Fax

Practice location:
  • Phone: 402-707-7830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: