Provider Demographics
NPI:1336942242
Name:CHAMBERS, BRETT DANIEL
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:DANIEL
Last Name:CHAMBERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 S 188TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1273
Mailing Address - Country:US
Mailing Address - Phone:402-216-5810
Mailing Address - Fax:
Practice Address - Street 1:7919 S 188TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1273
Practice Address - Country:US
Practice Address - Phone:402-216-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty