Healthcare Provider Details

I. General information

NPI: 1093759797
Provider Name (Legal Business Name): MATTHEW D. FELBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 05/05/2020
Certification Date: 05/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 WELLNESS WAY STE 1
PENDER NE
68047-4518
US

IV. Provider business mailing address

PO BOX 100
PENDER NE
68047-0100
US

V. Phone/Fax

Practice location:
  • Phone: 402-385-3033
  • Fax: 402-385-3092
Mailing address:
  • Phone: 402-385-4004
  • Fax: 402-385-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1122
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: