NPI 1205893567 · live from the CMS NPI Registry
Tara R Brakke, MD
Anesthesiology in Omaha, NE. National Provider Identifier 1205893567, active.
NPI record
| NPI | 1205893567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 988102 Nebraska Medical Ctr, Omaha, NE 68198 |
| Practice phone | 402-559-4081 |
| Enumerated | April 28, 2006 |
| Last updated | June 20, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 22005 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.