Healthcare Provider Details

I. General information

NPI: 1831279132
Provider Name (Legal Business Name): MICHAEL C BIBLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S COULTER ST STE 200
AMARILLO TX
79106-1841
US

IV. Provider business mailing address

816 22ND AVE SUITE 100
KEARNEY NE
68845-2206
US

V. Phone/Fax

Practice location:
  • Phone: 806-212-6604
  • Fax:
Mailing address:
  • Phone: 308-865-2808
  • Fax: 308-455-3970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number291
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: