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NPI Code Detail

MEDICARE: TIMOTHY C ZIMMERMAN MD

MEDICARE: TIMOTHY C ZIMMERMAN MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20872NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103162OTHERNEBCBS NE

General Provider Information

NPI Number : 1528177698
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY C ZIMMERMAN MD
Provider Business Mailing Address
First Line : PO BOX 968
Second Line :
City : HASTINGS
State : NE
Zip : 68902-0968
Country : US
Telephone Number : 402-462-8456
Fax Number : 833-450-5895
Provider Business Practice Location Address
First Line : 1021 W 14TH ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-3046
Country : US
Telephone Number : 402-463-2423
Fax Number : 833-450-5895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/04/2026

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Directions to “ TIMOTHY C ZIMMERMAN MD” Practice Location

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