Provider Demographics
NPI:1861446809
Name:BLEICHER, BOB J (MD)
Entity Type:Individual
Prefix:
First Name:BOB
Middle Name:J
Last Name:BLEICHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 S 16TH ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3796
Mailing Address - Country:US
Mailing Address - Phone:402-474-3704
Mailing Address - Fax:402-474-3748
Practice Address - Street 1:2222 S 16TH ST
Practice Address - Street 2:SUITE 405
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3796
Practice Address - Country:US
Practice Address - Phone:402-474-3704
Practice Address - Fax:402-474-3748
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE16291207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47069910913Medicaid
NE099173Medicare ID - Type Unspecified
NE47069910913Medicaid