ROBERT G. BONEBRAKE (NPI# 1386758761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386758761 |
| Entity Type | Individual |
| Full Name | ROBERT G. BONEBRAKE |
| Credential | M.D. |
| Practice Address |
717 N 190th Plz Suite 2400 Elkhorn NE 68022-3913 |
| Mailing Address |
Po Box 2797 Omaha NE 68103-2797 |
| Practice Telephone | 4028151970 |
| Practice Fax Number | 4028151595 |
| Mailing Telephone | 4023544230 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 19313 | NE | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
19313 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 470376604-16 | 05 | |
| IA | 1386758761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558420497 | Robert Scott Bonebrake | Chiropractor | 140 S Parker, Olathe, KS 66061 | 2006-12-06 |
| Street Address |
717 N 190TH PLZ SUITE 2400 |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731523 | Kelly Gadwood Behney | Physical Therapist | 717 N 190th Plz, Ste. 2000, Elkhorn, NE 68022-3913 | 2006-02-28 |
| 1275990905 | Joli Hallowell | Physician Assistant | 717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 | 2016-01-26 |
| 1851789390 | Jennifer Lynn Auxier | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2015-01-07 |
| 1316379340 | Susan M Meier | Nurse Practitioner | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-08-01 |
| 1306282215 | Amela Hodzic | Registered Nurse | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-05-17 |
| 1659629756 | Melanie Bussey | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-08-21 |
| 1750643193 | Darrick Peters | Obstetrics & Gynecology | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2012-06-12 |
| 1033481312 | Bonnie Wilkerson | Physician Assistant | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-02-02 |
| 1164708392 | Kathleen Ann Morris | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2011-11-02 |
| 1073891628 | Alicia L. Wachal | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2011-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497982086 | Todd R. Lovgren | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2009-06-22 |
| 1740390947 | Andrew W Robertson | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2006-08-30 |
| 1881701522 | Michael G Levine | Obstetrics & Gynecology | 717 N 190th Plz, Suite # 2400, Elkhorn, NE 68022-3913 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617785 | John W Larsen Jr. | Obstetrics & Gynecology | 575 S 70th St Ste 405, Lincoln, NE 68510-2471 | 2006-02-08 |
| 1740591502 | Heather M Said | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198-0001 | 2010-06-27 |
| 1700053691 | Ramzy Sami Nakad | Obstetrics & Gynecology | 983255 Nebraska Medical Ctr, Omaha, NE 68198-3255 | 2008-05-11 |
| 1346424017 | Maternal Fetal Medicine Advanced Fetal Imaging Center | Obstetrics & Gynecology | 575 S 70th St, Ste 405, Lincoln, NE 68510-2471 | 2007-12-18 |
| 1235271172 | James Francis Smith Jr. | Obstetrics & Gynecology | 601 N 30th St, Suite 4700, Omaha, NE 68131-2128 | 2007-02-13 |
| 1235217118 | Sean Patrick Kenney | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2006-11-01 |
| 1568577427 | Katherine Foley | Obstetrics & Gynecology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-08-20 |
| 1629029491 | Carl V Smith | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-15 |
| 1609826262 | Paul G Tomich | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-12 |
| 1508814104 | Amie Lynn Hollard | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198 | 2006-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.