NPI 1215151543

Charles Brent Wakefield, MD

Practitioner Urology Physician Omaha, NE

Practice location

Address: 10707 Pacific St Suite 101, Omaha, NE 68114-4762
Phone: (402) 397-7989
Fax: (402) 393-7554
Mailing address: PO Box 8577, Omaha, NE 68108-0577

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5286 (NE)

Other Urology providers in Nebraska →

Registry record

NPI: 1215151543
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 1 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.