- Practice location
- 2808 S 143RD Plz, Omaha, NE 68144-5611
- Phone
- 402-609-1800
- Fax
- —
- Last updated
- September 23, 2020
Derek Alan Burdeny is a Radiology, Diagnostic Radiology based in Omaha, NE. Derek Alan Burdeny practices in Omaha, NE and has the professional credentials of MD. The NPI Number for Derek Alan Burdeny is 1235208638 and holds a License No. 0C52921 (CA). The current practice location address for Derek Alan Burdeny is 2808 S 143RD Plz, Omaha, NE 68144-5611 and can be reached out via phone at 402-609-1800.
Provider Profile Details
- NPI Number
- 1235208638
- Provider Name
- Derek Alan Burdeny
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2808 S 143RD Plz, Omaha, NE 68144-5611
- Phone Number
- 402-609-1800
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2006
- Last Update Date
- September 23, 2020
- Certification Date
- September 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2808 S 143RD Plz
Omaha, NE 68144-5611 - City
- Omaha
- State
- Nebraska
- Zip
- 68144-5611
- Phone Number
- 402-609-1800
Provider Business Mailing Address Details
- Address
- P.o. Box 6102
Novato, CA 94948-6102 - City
- Novato
- State
- CA
- Zip
- 94948-6102
- Phone Number
- 415-884-3418
- Fax Number
- 415-883-3406
License Information
- License Number (1)
- 0C52921
- License State (1)
- CA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 40054
- License State (2)
- AZ
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 46763
- License State (3)
- CO
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (4)
- 036-126684
- License State (4)
- IL
- Taxonomy (4)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (5)
- 32183
- License State (5)
- IA
- Taxonomy (5)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (6)
- SP173
- License State (6)
- NV
- Taxonomy (6)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (7)
- 25MA08377300
- License State (7)
- NJ
- Taxonomy (7)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (8)
- 95-00851
- License State (8)
- NC
- Taxonomy (8)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (9)
- 35.091331
- License State (9)
- OH
- Taxonomy (9)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (10)
- 26116
- License State (10)
- OK
- Taxonomy (10)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (11)
- 2777
- License State (11)
- SD
- Taxonomy (11)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (12)
- 48895
- License State (12)
- WA
- Taxonomy (12)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (13)
- 20055
- License State (13)
- NE
- Taxonomy (13)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Derek A Burdeny, MD?
The NPI number of Derek A Burdeny, MD is 1235208638. It was assigned on November 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Derek A Burdeny, MD?
Derek A Burdeny, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number 0C52921.
Where does Derek A Burdeny, MD practice?
The practice location is 2808 S 143RD Plz, Omaha, NE 68144-5611. The office can be reached at 402-609-1800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235208638 directly on the NPPES registry website.