MEDICARE: FAITH REGIONAL PHYSICIAN SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RI0200X	Infectious Disease Physician
2	207RG0100X	Gastroenterology Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207X00000X	Orthopaedic Surgery Physician
5	207RN0300X	Nephrology Physician
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
7	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
8	207RP1001X	Pulmonary Disease Physician
9	207R00000X	Internal Medicine Physician
10	207RC0001X	Clinical Cardiac Electrophysiology Physician
11	2084P0800X	Psychiatry Physician
12	207RI0011X	Interventional Cardiology Physician
13	2084N0400X	Neurology Physician
14	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1265489157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH REGIONAL PHYSICIAN SERVICES, LLC

Provider Business Mailing Address
First Line	:	110 N 29TH ST STE 201
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-4461
Country	:	US
Telephone Number	:	402-844-8385
Fax Number	:	402-844-8122

Provider Business Practice Location Address
First Line	:	110 N 29TH ST
Second Line	:	SUITE 201
City	:	NORFOLK
State	:	NE
Zip	:	68701-4461
Country	:	US
Telephone Number	:	402-844-8385
Fax Number	:	402-844-8122

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	BRIAN BLECHER
Credential	:
Telephone Number	:	402-644-7536

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/26/2026

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