NEPHROLOGY CARE LLC NPI 1053530519

NPI Information

  • NPI: 1053530519
  • Provider Name: NEPHROLOGY CARE LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 28D1069578
  • Address: 310 E MILITARY AVE
    FREMONT, NE
    ZIP 68025
  • Phone: (402) 727-5863

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NPI Details

NEPHROLOGY CARE LLC is a nephrology internal medicine in Fremont, NE. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY CARE LLC NPI is 1053530519. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 E MILITARY AVE
FREMONT, NE
ZIP 68025-070
Phone: (402) 727-5863
Fax: (402) 727-7687

The provider's authorized official is Bryce H Lund .
The authorized official title is President and has the following contact phone number (402) 727-5863.

The CLIA number assigned to this NPI record is 28D1069578 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/18/2022.

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
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025518700MEDICAIDNEBRASKA

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: 11/21/2025

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