Jeremy Nebeker, MD

Family Medicine in Glendale, AZ. Individual provider (NPI-1).

NPI number1013208545

StatusActive

Last updated in NPPESNov 7, 2014

Details

NPI: 1013208545
Entity type: Individual (NPI-1)
Name: Jeremy Nebeker
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 2, 2011
Last updated: Nov 7, 2014

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	49415	AZ	Yes

Practice location

18275 N 59th Avenue
Bldg K 162
Glendale, AZ 85308-1254

Phone 602-547-8184 · Fax 602-547-8339

Mailing address

18275 N 59th Avenue
Bldg K 162
Glendale, AZ 85308-1254

Phone 602-547-8184 · Fax 602-547-8339

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Glendale, AZ

All 192 Family Medicine Physician providers in Glendale · All 7,642 providers in Glendale

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