Wellformed AI

NPI 1295821825 · live from the CMS NPI Registry

Father Flanagan'S Boys' Home

Pediatrics in Omaha, NE. National Provider Identifier 1295821825, active.

NPI record

NPI1295821825 Type 2 · organization
StatusActive
Primary specialtyPediatrics 208000000X
Practice location555 N 30th St, Omaha, NE 68131
Practice phone402-498-6509
EnumeratedOctober 4, 2006
Last updatedNovember 21, 2025
Authorized officialBridgette Renbarger, Cfo
Other namesBoys Town Professional Services

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery207X00000X—
Physician Assistant363A00000X—
Audiologist231H00000X—
Nurse Practitioner, Pediatrics363LP0200X—
Ophthalmology207W00000X—
Psychiatry & Neurology, Child & Adolescent Psychiatry2084P0804X—
Pediatrics, Pediatric Allergy/Immunology2080P0201X—
Otolaryngology, Pediatric Otolaryngology207YP0228X—
Pediatrics, Pediatric Gastroenterology2080P0206X—
Anesthesiology207L00000X—
Pediatrics, Sports Medicine2080S0010X—
Obstetrics & Gynecology207V00000X—
Pediatrics, Developmental - Behavioral Pediatrics2080P0006X—
Medical Genetics, Clinical Genetics (M.D.)207SG0201X—
Pediatrics primary208000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.