Provider Demographics
NPI:1497857031
Name:HAWK, BOBBI J (MD)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:J
Last Name:HAWK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:J
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-7480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE228502080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-00079OtherUHC
NE470780857 02Medicaid
IA0584482Medicaid
NE04287OtherBCBS
NE244503OtherMIDLAND'S CHOICE
277983Medicare PIN
NE47-00079OtherUHC