Provider Demographics
NPI:1295860427
Name:BUSER, KERREY BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:KERREY
Middle Name:BRIAN
Last Name:BUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 BUFFALO BEND
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850
Mailing Address - Country:US
Mailing Address - Phone:308-324-5660
Mailing Address - Fax:308-324-5728
Practice Address - Street 1:1101 BUFFALO BEND
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850
Practice Address - Country:US
Practice Address - Phone:308-324-5660
Practice Address - Fax:308-324-5728
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19903208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00091OtherBLUE CROSS BLUE SHIELD
NE20039030OtherRR MEDICARE
NE47080986800Medicaid
NE20039030OtherRR MEDICARE
NE270612Medicare UPIN