DR. DAVID A MINNICK (NPI# 1891897997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891897997 |
| Entity Type | Individual |
| Full Name | DR. DAVID A MINNICK |
| Credential | MD |
| Practice Address |
145 Memorial Dr Broken Bow NE 68822 |
| Mailing Address |
Po Box 690 Broken Bow NE 68822 |
| Practice Telephone | 3088722486 |
| Practice Fax Number | 3088722027 |
| Mailing Telephone | 3088722486 |
| Mailing Fax Number | 3088722027 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19206 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063616167 | David Brandon Minnick | Surgery | 601 John St, Suite M-283, Kalamazoo, MI 49007-5341 | 2007-06-13 |
| Street Address |
145 MEMORIAL DR |
| City | BROKEN BOW |
| State | NE |
| Zip Code | 68822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528098407 | Julie A Lindstrom | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-07-04 |
| 1386271419 | Valerie Harris | Counselor | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2020-03-26 |
| 1861959017 | Justin Boutwell | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2019-02-25 |
| 1982143764 | Jason S Brooks | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-14 |
| 1033657820 | Laci Kai Scott | Nurse Practitioner | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-01 |
| 1295199792 | Katie Thompson | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2016-04-11 |
| 1811311921 | Jacob D Karmazin | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2014-02-10 |
| 1942400585 | Melissa Ann Kulhanek | Pharmacist | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-07-23 |
| 1366659773 | Jennie M Melham Memorial Medical Center Inc | Nurse Anesthetist, Certified Registered | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-05-16 |
| 1609937598 | Loren Henning Jacobsen | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898229 | Lauren Eliz Zimbelman | Occupational Therapy Assistant | Brookestone View, 850 Laurel Parkway Drive, Broken Bow, NE 68822 | 2017-08-24 |
| 1063868032 | Tanner Johnson | Specialist/Technologist | 79568 Sumner Rd., Broken Bow, NE 68822 | 2016-05-10 |
| 1730571837 | Quality Senior Villages | Clinic/Center | 715 Arapahoe Lane, Broken Bow, NE 68822 | 2015-02-26 |
| 1346660743 | Sheila Erickson | Case Manager/Care Coordinator | 323 S 7th Street, Broken Bow, NE 68822 | 2014-04-24 |
| 1497926570 | Sarah Tove Hansen | Community Health Worker | 850 Laurel Parkway Dr, Broken Bow, NE 68822 | 2008-03-18 |
| 1144320144 | John C Evans | Nurse Anesthetist, Certified Registered | 145 Memorial Dr., Broken Bow, NE 68822 | 2006-09-22 |
| 1588764583 | Timothy Bart Johnson | Nurse Anesthetist, Certified Registered | 79568 Sumner Road, Broken Bow, NE 68822 | 2006-09-22 |
| 1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
| 1265668172 | Errin M. Nelson | Physical Therapist | 325 South 1st Ave, Errin Nelson, Broken Bow, NE 68822-0435 | 2009-06-05 |
| 1083025571 | Deniece P Petersen | Physical Therapist | 325 S 1st Ave, Broken Bow, NE 68822-0435 | 2014-05-19 |
| Find all providers in zip 68822 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606518 | Hochatown Medical Clinic LLC | Family Medicine | 6613 N Us Highway 259, Broken Bow, OK 74728-6591 | 2017-08-23 |
| 1912126335 | Family Medical Clinic | Family Medicine | 110 W 1st St, Broken Bow, OK 74728-3902 | 2007-04-24 |
| 1093847394 | Monty J Grugan Do PC | Family Medicine | 117 N Broadway St, Broken Bow, OK 74728-3933 | 2007-03-12 |
| 1225121361 | Melinda S Barratt | Family Medicine | 805 South F Street, Broken Bow, NE 68822-0647 | 2006-10-02 |
| 1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
| 1821007568 | Jon T Maxwell | Family Medicine | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 | 2006-08-05 |
| 1528098407 | Julie A Lindstrom | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-07-04 |
| 1215980297 | Norval Leon Books | Family Medicine | 1245 North 11th Ave, Broken Bow, NE 68822-1141 | 2006-05-18 |
| 1588639827 | Curtiss D Farrell | Family Medicine | 510 S Park Dr, Broken Bow, OK 74728-5330 | 2006-02-21 |
| 1295199792 | Katie Thompson | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2016-04-11 |
| Find all providers in BROKEN BOW | ||||
| City | BROKEN BOW |
| Zip Code | 68822 |
Please comment or provide details below to improve the information on DR. DAVID A MINNICK.
| 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.