SearchNebraska207Q00000X

Jacob Anderson, DO

NPI 1023507035 · on the registry since 2018 · sole proprietor

Practice

Address
3911 Avenue B
Scottsbluff, NE 69361
Phone
(308) 630-2100
Fax
(308) 630-1349
Organisation at this address
Panhandle Health Services
Panhandle Health Services
Regional West Medical Center
Regional West Medical Center
Scottsbluff Urology Assoc Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Additional practice sites

  • 2 W 42nd St, Scottsbluff, NE

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
NE, CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska