Provider Demographics
NPI:1760440507
Name:FORBES, ROBERT JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:FORBES
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 1:14301 FNB PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-7200
Mailing Address - Country:US
Mailing Address - Phone:402-493-1212
Mailing Address - Fax:888-972-1672
Practice Address - Street 1:14301 FNB PKWY STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-7200
Practice Address - Country:US
Practice Address - Phone:402-758-5233
Practice Address - Fax:888-972-1672
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA315812085R0202X
NE210772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE13262OtherMIDLANDS CHOICE
NE605082700OtherUS DEPT. OF LABOR
IA0585794Medicaid
NE10025186700Medicaid
NE04192OtherBC/BS OF NEBRASKA
NE1602542OtherSHARE ADVANTAGE
IA0585794Medicaid
NE13262OtherMIDLANDS CHOICE
NE1602542OtherSHARE ADVANTAGE
NE605082700OtherUS DEPT. OF LABOR
NE278125Medicare PIN