Provider Demographics
NPI:1972561991
Name:THOMSON, DEAN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:ROBERT
Last Name:THOMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 CENTENNIAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-1056
Mailing Address - Country:US
Mailing Address - Phone:402-873-7889
Mailing Address - Fax:402-873-4366
Practice Address - Street 1:1700 14TH AVE
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-1146
Practice Address - Country:US
Practice Address - Phone:402-873-4242
Practice Address - Fax:402-873-4366
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
01-06560OtherUHC
IA3977405Medicaid
4120OtherMIDLANDS CHOICE
00834OtherBCBS
01-06560OtherUHC
D05154Medicare UPIN
279844Medicare PIN