OrganizationActive
Primary Care Physicians, LLP
NPI 1649230426 · General Practice Physician · Omaha, NE
Provider details
- NPI number
- 1649230426
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jorden Bazar, Business Administrator(402) 330-1414
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12728 Augusta Ave
Omaha, NE 68144-3754
Phone: (402) 330-1410
Fax: (402) 330-4294
Approximate (ZIP-level) locationGet directions
Mailing address
12728 Augusta Ave
Omaha, NE 68144-3754
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.