Brooks, Gregory D

Brooks, Gregory D is an individual health care provider with primary practice located at 3503 Samson Way Suite 108, Bellevue NE 68123-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Brooks, Gregory D can be contacted via phone (402) 592-2055.

Contact Information

Primary practice address
3503 Samson Way Suite 108 Bellevue NE 68123-4303
Fax: (402) 592-2419
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25262 Nebraska

Profile Details

NPI number 1134178817
LBN Legal business name Brooks, Gregory D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134178817 NPPES
Nebraska MEDICAID 47059317213

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