Provider Demographics
NPI:1255347456
Name:NEUMANN, RANDALL D (MD)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:D
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2725 SOUTH 144TH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144
Mailing Address - Country:US
Mailing Address - Phone:402-637-0800
Mailing Address - Fax:402-637-0852
Practice Address - Street 1:2725 SOUTH 144TH ST
Practice Address - Street 2:SUITE 212
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:402-637-0800
Practice Address - Fax:402-637-0852
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE14852207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE35853OtherBCBS OF NEBRASKA
NE900505OtherUNITED HEALTHCARE
E51826Medicare UPIN
NE900505OtherUNITED HEALTHCARE