Jacob Matthew Bazar
Clinic/Center, Developmental Disabilities in Ralston, NE. Individual provider (NPI-1).
NPI number1831998483
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1831998483
- Entity type
- Individual (NPI-1)
- Name
- Jacob Matthew Bazar
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2025
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
5720 S 77th StRalston, NE 68127-4202
Phone 531-200-0563
Mailing address
5720 S 77th StRalston, NE 68127-4202
Phone 531-200-0563
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 Developmental Disabilities Clinic/Center providers in Ralston, NE
- Zakariya E AbdelaNPI 1225836810
- Ablavi Anais Ayivon KpetessouNPI 1700683620
- Roxanne C BelmontNPI 1851198618
- Betty Jane BroughtonNPI 1376349910
- Janet G ConklinNPI 1407656168
- Amy CrossNPI 1982400461
- Chaimaou Dan-Merogo MaradiNPI 1104625896
- Savannah Elaine DavisNPI 1902605249
- Dede Matimo Degbesse AmoussougaNPI 1144028762
- Irmeida M DenanyoNPI 1558169110
All 60 Developmental Disabilities Clinic/Center providers in Ralston · All 162 providers in Ralston
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.