DR. ERIC MACKENZIE NYBERG M.D. NPI 1881842755

NPI Information

NPI: 1881842755
Provider Name: DR. ERIC MACKENZIE NYBERG, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: FORT COLLINS RADIOLOGIC ASSOCIATES PC

PECOS Registration: Yes

Address:
1024 S LEMAY AVE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 495-7000
Get Directions

DR. Eric Mackenzie Nyberg, M.D. is a diagnostic radiology radiology in Fort Collins, CO with 20 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Eric Mackenzie Nyberg, M.D. NPI is 1881842755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2004

The provider's business location address is:

1024 S LEMAY AVE
FORT COLLINS, CO
ZIP 80524-929
Phone: (970) 495-7000
Fax: (970) 484-4759

The NPI 1881842755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 7/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	47652	COLORADO	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	12013C	WYOMING	No
3	2085R0202X	Radiology	Diagnostic Radiology	31571	NEBRASKA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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